Individual
DR. JENNIFER L LAMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
500 E 19TH ST, MOUNTAIN GROVE, MO 65711-1114
(417) 926-6563
(417) 926-5820
Mailing address
1100 N KENTUCKY AVE, P.O. BOX 1100, WEST PLAINS, MO 65775-2029
(417) 256-9111
(417) 257-5947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010024114
MO
207Q00000X
Family Medicine Physician
OT011902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467549865
—
MO
01
—
431560263
TRICARE WEST
—
01
—
P00852014
RAILROAD MEDICARE GROUP CB9013
—
Enumeration date
10/06/2006
Last updated
12/22/2016
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