Individual
DEREK LAMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1334 HERITAGE PKWY, WENTZVILLE, MO 63385-3570
(636) 288-5225
Mailing address
1334 HERITAGE PKWY, WENTZVILLE, MO 63385-3570
(636) 288-5225
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2015008642
MO
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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