Provider Demographics
NPI:1528467966
Name:LAMBERT, ERIKA PAIGE (LMT)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:PAIGE
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 SW ISAAC AVE
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-2960
Mailing Address - Country:US
Mailing Address - Phone:541-379-0765
Mailing Address - Fax:
Practice Address - Street 1:17 SW FRAZER AVE STE 240
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97801-2150
Practice Address - Country:US
Practice Address - Phone:541-379-0765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16231174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist