Lambertson, Larry H.

Lambertson, Larry H. is an individual health care provider with primary practice located at 909 E State Blvd , Fort Wayne IN 46805-3404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lambertson, Larry H. can be contacted via phone (260) 481-2700.

Contact Information

Primary practice address
909 E State Blvd Fort Wayne IN 46805-3404
Fax: (260) 481-2717
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01040684A Indiana

Profile Details

NPI number 1124019005
LBN Legal business name Lambertson, Larry H.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Apr 16th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124019005 NPPES
Indiana MEDICAID 100351140

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