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Individual

DANIEL STEPHEN LAMBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348
Mailing address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3802
AZ
363A00000X
Physician Assistant
Primary
PA-835
ID
363AM0700X
Medical Physician Assistant
3802
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2065624
WA
01
NONE
NONE
AZ
Enumeration date
10/23/2006
Last updated
09/28/2016
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