Provider Demographics
NPI:1396967998
Name:LAMBERT, RONALD JEREMY (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JEREMY
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 1:908 AVENUE F
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-5233
Mailing Address - Country:US
Mailing Address - Phone:404-428-2562
Mailing Address - Fax:
Practice Address - Street 1:908 AVENUE F
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-5233
Practice Address - Country:US
Practice Address - Phone:830-798-8820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11526111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA203702267OtherTAX ID