Jay Cannon Lambert in Eagle Mountain - Physician Assistant

Jay Cannon Lambert - NPI 1770677478

Jay Cannon Lambert is a Physician Assistant in Eagle Mountain, Utah. Jay Cannon Lambert practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jay Cannon Lambert is 1770677478. The last update date is 2018-11-12.

Jay Cannon Lambert's current location address is 4095 E Pony Express Pkwy, Eagle Mountain, Utah. You can contact this provider via phone number 8014298037 and fax number 8017537476. The mailing address for Jay Cannon Lambert is 4095 E Pony Express Pkwy, Eagle Mountain, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Jay Cannon Lambert
Address 4095 E Pony Express Pkwy, Eagle Mountain, Utah
Phone Number 8014298037
Fax Number 8017537476
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1770677478
Provider Enumeration Date 2006-10-03
Last Updated Date 2018-11-12

Provider Mailing Address Detail

Address 4095 E Pony Express Pkwy
City Eagle Mountain
State Utah (UT)
Post Code 840055529
Phone Number 8014298037
Fax Number 8017537476

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 413
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
71813 MT CAH MEDICARE PART B
4307589 MT --
P00307087 MT RAILROAD MEDICARE

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FAQs about Jay Cannon Lambert

What is the unique identifier code issued to Jay Cannon Lambert by the Centers for Medicare & Medicaid Services?

The Jay Cannon Lambert has been assigned the NPI (National Provider Identifier) 1770677478. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jay Cannon Lambert is located?

The Jay Cannon Lambert is situated at the following address: 4095 E Pony Express Pkwy, Eagle Mountain, UT, 840055529.

What is Jay Cannon Lambert's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jay Cannon Lambert is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Jay Cannon Lambert receive its 1770677478 assignment from the Centers for Medicare & Medicaid Services?

The Jay Cannon Lambert was assigned its 1770677478 by the Centers for Medicare & Medicaid Services on 2006-10-03.

When was the Jay Cannon Lambert's information last updated?

The Jay Cannon Lambert's information was last updated on 2018-11-12.

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