Provider Demographics
NPI:1194701672
Name:LAMBERT, RACHEL A (DO)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:A
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2995 DREW ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3012
Mailing Address - Country:US
Mailing Address - Phone:727-315-6775
Mailing Address - Fax:813-635-4913
Practice Address - Street 1:400 PINELLAS ST STE 400
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3312
Practice Address - Country:US
Practice Address - Phone:727-462-3401
Practice Address - Fax:727-533-5994
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS12856207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1656316105OtherBLUE CARE NETWORK
FL013435700Medicaid
MI5201870Medicaid
MI1656316105OtherBLUE CROSS
FL013435700Medicaid
MI1656316105OtherBLUE CROSS
MIP26800003Medicare PIN