1558369470 NPI number — LAMBERTS LIMBS & BRACES INC.

Table of content: (NPI 1558369470)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558369470 NPI number — LAMBERTS LIMBS & BRACES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAMBERTS LIMBS & BRACES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LAMBERT'S ORTHOTICS & PROSTHETICS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558369470
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/18/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5412 DIJON DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70808-4315
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-769-2591
Provider Business Mailing Address Fax Number:
225-769-2568

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5412 DIJON DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70808-4315
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-769-2591
Provider Business Practice Location Address Fax Number:
225-769-2568
Provider Enumeration Date:
07/13/2005

Additional Information

Authorized Official

Authorized Official Last Name:
LAMBERT
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
225-769-2591

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , with the licence number:  375810 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 27608 . This is a "BLUE CROSS" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1108839 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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