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Destry W Lambert Md Inc
Primary Care Clinic/Center in Tipton, Indiana
NPI 1033392808

Destry W Lambert Md Inc is a Primary Care Clinic/Center based in Tipton, IN and is specialized in Primary Care. Destry W Lambert Md Inc practices in Tipton, IN. The NPI Number for Destry W Lambert Md Inc is 1033392808 and holds a License No. 01024399 (Indiana).

The current practice location address for Destry W Lambert Md Inc is 403 Fairgrounds Rd, Tipton, IN and can be reached out via phone at 765-675-7601 and via fax at 765-675-8052.

Location: 403 Fairgrounds Rd, Tipton, IN, 46072-9596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033392808
Provider Name
Destry W Lambert Md Inc
Credential
Provider Entity Type
Organization
Address
403 Fairgrounds Rd, Tipton, IN, 46072-9596
Phone Number
765-675-7601
Fax Number
765-675-8052
Provider Enumeration Date
12/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100233710 05 IN
institution
Provider Business Practice Location Address Details
Address
403 Fairgrounds Rd
City
Tipton
State
Indiana
Zip
46072-9596
Phone Number
765-675-7601
Fax Number
765-675-8052
person
Provider Business Mailing Address Details
Address
403 Fairgrounds Rd
City
Tipton
State
Indiana
Zip
46072-9596
Phone Number
765-675-7601
Fax Number
765-675-8052
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
01024399 (Indiana)
Definition
Definition to come...
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