Provider Demographics
NPI:1811641533
Name:LAMBERT, LIDIYA ELIZABETH (NP, MSN)
Entity type:Individual
Prefix:MRS
First Name:LIDIYA
Middle Name:ELIZABETH
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:NP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:4240 LOST HILLS RD UNIT 1702
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-5350
Mailing Address - Country:US
Mailing Address - Phone:818-961-7456
Mailing Address - Fax:
Practice Address - Street 1:870 HAMPSHIRE RD STE A
Practice Address - Street 2:
Practice Address - City:WESTLAKE VLG
Practice Address - State:CA
Practice Address - Zip Code:91361-2825
Practice Address - Country:US
Practice Address - Phone:805-358-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95019709363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner