Individual
TERRY DOUGLAS LAMBERT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1259
Mailing address
200 LAMBERT LN, TAZEWELL, TN 37879-6357
(423) 912-0055
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
147056
TN
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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