Provider Demographics
NPI:1396118519
Name:LAMBERT, ERICA (LMT MMP)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:LMT MMP
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2900 W PARK ROW DR STE C
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-2047
Mailing Address - Country:US
Mailing Address - Phone:972-916-9026
Mailing Address - Fax:888-882-8607
Practice Address - Street 1:2900 W PARK ROW DR STE C
Practice Address - Street 2:
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-2047
Practice Address - Country:US
Practice Address - Phone:972-916-9026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-10
Last Update Date:2019-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT121545225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist