Individual
MR. DESTRY W LAMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 FAIRGROUNDS RD, TIPTON, IN 46072-9596
(765) 675-7601
(765) 675-8052
Mailing address
PO BOX 358, TIPTON, IN 46072-0358
(765) 675-8119
(765) 675-8257
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01024399
IN
208D00000X
General Practice Physician
01024399A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233710A
—
IN
Enumeration date
10/18/2005
Last updated
09/24/2008
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