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NPI Code Detail

MEDICARE: CONNIE S LAMBERT

MEDICARE:   CONNIE S 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
11041C0700XClinical Social Worker3029CNV

General Provider Information

NPI Number : 1669500443
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNIE S LAMBERT
Provider Business Mailing Address
First Line : 1917 IVY POINT LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-5902
Country : US
Telephone Number : 702-838-3725
Fax Number :
Provider Business Practice Location Address
First Line : 1917 IVY POINT LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-5902
Country : US
Telephone Number : 702-838-3725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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Directions to “ CONNIE S LAMBERT ” Practice Location

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