Provider Demographics
NPI:1982593463
Name:LAMBERSON, DEANGEL S
Entity type:Individual
Prefix:
First Name:DEANGEL
Middle Name:S
Last Name:LAMBERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 BELLWOOD DR APT 15
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-8281
Mailing Address - Country:US
Mailing Address - Phone:308-379-6057
Mailing Address - Fax:
Practice Address - Street 1:108 W PARADISE LK
Practice Address - Street 2:
Practice Address - City:PHILLIPS
Practice Address - State:NE
Practice Address - Zip Code:68865-1732
Practice Address - Country:US
Practice Address - Phone:308-379-6057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide