Individual
DR. KEITH GARRETT LAMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1383
(607) 274-4011
(607) 274-4527
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
297781-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10056835
TEXAS (PHYSICIAN-IN-TRAINING)#
TX
Enumeration date
06/23/2016
Last updated
06/28/2019
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