Provider Demographics
NPI:1619403359
Name:LAMBERT, LAURIE (MSN, APRN PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:
Credentials:MSN, APRN PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14100 SAN PEDRO AVE STE 501
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4363
Mailing Address - Country:US
Mailing Address - Phone:210-405-3008
Mailing Address - Fax:210-512-9583
Practice Address - Street 1:14100 SAN PEDRO AVE STE 501
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4363
Practice Address - Country:US
Practice Address - Phone:210-405-3008
Practice Address - Fax:210-512-9583
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11963772084P0800X
FL11036970363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry