Provider Demographics
NPI:1730432436
Name:LAMBERT, PAMALA DESHANN (RRT)
Entity type:Individual
Prefix:
First Name:PAMALA
Middle Name:DESHANN
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12325 GREGG LN
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-4407
Mailing Address - Country:US
Mailing Address - Phone:907-330-9002
Mailing Address - Fax:
Practice Address - Street 1:12325 GREGG LN
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-4407
Practice Address - Country:US
Practice Address - Phone:907-330-9002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25702227900000X
FL8340227900000X
PAYMO11789227900000X
UT5169070-5701227900000X
WALR 00003201227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered