Individual
BETHANY MARIE LAMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1801 SENATE BLVD, INDIANAPOLIS, IN 46202-1228
(317) 962-3700
(317) 962-2893
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001525A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430H11
MEDICARE PTAN
IN
05
—
300015529
—
IN
Enumeration date
06/27/2013
Last updated
05/15/2023
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