Provider Demographics
NPI:1871557751
Name:LAMBERT, RHONDA JENKINS
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:JENKINS
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:RHONDA
Other - Middle Name:RUTH
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2668
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70404-2668
Mailing Address - Country:US
Mailing Address - Phone:985-230-2198
Mailing Address - Fax:985-230-2159
Practice Address - Street 1:15790 PAUL VEGA DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1434
Practice Address - Country:US
Practice Address - Phone:985-345-2700
Practice Address - Fax:985-230-2159
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP01704367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
430035508OtherRR MEDICARE #
LA1981389Medicaid
LA5T225DW28Medicare PIN