Provider Demographics
NPI:1154435485
Name:LAMBERT, RICHARD ERNEST (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:ERNEST
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1847
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85299-1847
Mailing Address - Country:US
Mailing Address - Phone:480-507-2961
Mailing Address - Fax:480-507-2971
Practice Address - Street 1:428 S GILBERT RD STE 115
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-2262
Practice Address - Country:US
Practice Address - Phone:480-507-2961
Practice Address - Fax:480-507-2971
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT341005-1205207L00000X
AZ40164207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT342356OtherDMBA
AZ392980Medicaid
AZP00738863OtherMEDICARE RR
UT107001579102OtherIHC
UT203093502RELOtherEDUCATORS
UT203093502OtherMAILHANDLERS
UT44888OtherPEHP
UT870625972LA1OtherEDUCATORS
UT265526OtherALTIUS
AZP01055175OtherMEDICARE RR
UT2000045OtherUNITED HEALTHCARE
UT203093502OtherUNITED HEALTHCARE
UT87051769184121 A011OtherTRICARE
UTPR01120OtherMOLINA
UTD1987Medicaid
BL5379765OtherDEA
AZP00738863OtherMEDICARE RR
AZ392980Medicaid
UTD1987Medicaid