Individual
LARRY H. LAMBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 E STATE BLVD, FORT WAYNE, IN 46805-3404
(260) 481-2700
(260) 481-2717
Mailing address
909 E STATE BLVD, FORT WAYNE, IN 46805-3404
(260) 481-2700
(260) 481-2717
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01040684A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100351140
—
IN
Enumeration date
10/31/2005
Last updated
04/16/2012
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