Provider Demographics
NPI:1043259377
Name:LAMBERT, LISA ANN (MS,RD, CDN)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:ANN
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MS,RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 NEW KARNER RD
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-3882
Mailing Address - Country:US
Mailing Address - Phone:518-452-1337
Mailing Address - Fax:518-724-6660
Practice Address - Street 1:501 NEW KARNER RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-3882
Practice Address - Country:US
Practice Address - Phone:518-452-1337
Practice Address - Fax:518-724-6660
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005893133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY070131000000OtherFIDELIS
NY390107OtherMVP HEALTHCARE
NY7996819OtherAETNA
NY000412764001OtherBSNENY
NY10112759OtherCDPHP
NY107842OtherGHI-HMO
NY1G1431OtherEMPIRE BC
NY107842OtherGHI-HMO