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NPI Code Detail

MEDICARE: ROGER LAMBERT

MEDICARE:   ROGER  LAMBERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1649945759
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER LAMBERT
Provider Business Mailing Address
First Line : 501 WILSON LN
Second Line :
City : ELKINS
State : WV
Zip : 26241-5216
Country : US
Telephone Number : 304-636-9326
Fax Number :
Provider Business Practice Location Address
First Line : 9653 SENECA TRL
Second Line :
City : MILL CREEK
State : WV
Zip : 26280-5008
Country : US
Telephone Number : 304-636-9326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2021
Last Update Date : 08/11/2021

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Directions to “ ROGER LAMBERT ” Practice Location

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