Provider Demographics
NPI:1447869995
Name:LAMBERT, LATONYA M
Entity type:Individual
Prefix:MS
First Name:LATONYA
Middle Name:M
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 FM 1959 RD APT 804
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-5472
Mailing Address - Country:US
Mailing Address - Phone:832-815-3053
Mailing Address - Fax:832-243-6259
Practice Address - Street 1:711 FM 1959 RD APT 804
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-5472
Practice Address - Country:US
Practice Address - Phone:281-854-4590
Practice Address - Fax:832-243-6259
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX08104874172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81-2217102OtherMEDICAL TRANSPORTATION