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Individual

THOMAS LAMBERT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5791 COPELAND RD, TYLER, TX 75703-3905
(903) 509-2020
Mailing address
5791 COPELAND RD, TYLER, TX 75703-3905
(903) 509-2020

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
N4537
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225252489
RAILROAD MEDICARE
01
45-2578435-001
TRICARE
TX
01
45-2578435-002
TRICARE
TX
01
45-2578435-004
TRICARE
TX
01
8BL252
BLUE CROSS AND BLUE SHIELD
TX
01
8GF751
BCBS
TX
Enumeration date
04/12/2007
Last updated
01/17/2017
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