Provider Demographics
NPI:1194920611
Name:LAMBERT, JOHN PATRICK (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PATRICK
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 E 28TH ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-1510
Mailing Address - Country:US
Mailing Address - Phone:612-722-3372
Mailing Address - Fax:612-722-3757
Practice Address - Street 1:2700 E 28TH ST
Practice Address - Street 2:SUITE 160
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-1510
Practice Address - Country:US
Practice Address - Phone:612-722-3372
Practice Address - Fax:612-722-3757
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2390111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor