Provider Demographics
NPI:1053360891
Name:LAMBERT, PETER M (MD)
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:M
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 683
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04903-0683
Mailing Address - Country:US
Mailing Address - Phone:207-873-6034
Mailing Address - Fax:207-872-9136
Practice Address - Street 1:33 WHITING HILL RD STE 1
Practice Address - Street 2:
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-1004
Practice Address - Country:US
Practice Address - Phone:207-973-8198
Practice Address - Fax:207-973-4293
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME00092342085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME110030816Medicaid
ME009234OtherLICENSE
AL8078722OtherDEA
ME110030816Medicaid
C66144Medicare UPIN