Provider Demographics
NPI:1154619203
Name:LAMBERT, CHARLES P
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:P
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 HIDDEN CANYON PARKWAY
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:NV
Mailing Address - Zip Code:89311
Mailing Address - Country:US
Mailing Address - Phone:775-234-7267
Mailing Address - Fax:
Practice Address - Street 1:1500 HIDDEN CANYON PARKWAY
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:NV
Practice Address - Zip Code:89311
Practice Address - Country:US
Practice Address - Phone:775-234-7267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical