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NPI Code Detail

MEDICARE: MADISON PAIGE LAMBERT

MEDICARE: MADISON PAIGE 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1861004558
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON PAIGE LAMBERT
Provider Business Mailing Address
First Line : 408 E 500 N
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-7099
Country : US
Telephone Number : 443-910-1307
Fax Number :
Provider Business Practice Location Address
First Line : 1400 E HANNA AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-3697
Country : US
Telephone Number : 317-788-3368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2020
Last Update Date : 08/23/2020

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Directions to “ MADISON PAIGE LAMBERT ” Practice Location

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