Organization
DESTRY W LAMBERT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINNIE JEAN ROGERS (OFC MGN)
(765) 675-7601
Entity
Organization
Contact information
Practice address
403 FAIRGROUNDS RD, TIPTON, IN 46072-9596
(765) 675-7601
(765) 675-8052
Mailing address
403 FAIRGROUNDS RD, TIPTON, IN 46072-9596
(765) 675-7601
(765) 675-8052
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
01024399
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233710
—
IN
Enumeration date
12/14/2007
Last updated
12/14/2007
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