Provider Demographics
NPI:1548283732
Name:LAMBERT, REBECCA WOODRUFF (MD)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:WOODRUFF
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:204 COURTSIDE DR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105
Mailing Address - Country:US
Mailing Address - Phone:239-643-3439
Mailing Address - Fax:
Practice Address - Street 1:2235 VENETIAN CT
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-8728
Practice Address - Country:US
Practice Address - Phone:239-596-9337
Practice Address - Fax:239-596-9466
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME84786207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269157400Medicaid
H81248Medicare UPIN