Provider Demographics
NPI:1386091809
Name:LAMBERT, ELIZABETH (APRN - CNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:APRN - CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W BLUE STARR DR
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-4227
Mailing Address - Country:US
Mailing Address - Phone:918-341-5200
Mailing Address - Fax:918-341-5872
Practice Address - Street 1:201 W BLUE STARR DR
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-4227
Practice Address - Country:US
Practice Address - Phone:918-341-5200
Practice Address - Fax:918-341-5872
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK83505363LW0102X
WI8928363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200638850AMedicaid