Individual
JERRY EDWARD LAMBERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
301 S COURT ST, CROWN POINT, IN 46307
(219) 663-1207
(219) 663-6474
Mailing address
301 S COURT ST, CROWN POINT, IN 46307
(219) 663-1207
(219) 663-6474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009409
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100202550A
—
IN
Enumeration date
07/14/2006
Last updated
09/28/2011
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