Provider Demographics
NPI:1447911045
Name:LAMBERT, MEGAN (MS, RD, LD)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4852 BROWN CAT CIR
Mailing Address - Street 2:
Mailing Address - City:HAHIRA
Mailing Address - State:GA
Mailing Address - Zip Code:31632-2673
Mailing Address - Country:US
Mailing Address - Phone:703-229-2993
Mailing Address - Fax:
Practice Address - Street 1:310 BRYAN ST W
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-4730
Practice Address - Country:US
Practice Address - Phone:703-229-2993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86046416133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered