| Entity Name: | LORI K. LAMBERT, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Mar 1994 (31 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P94000022113 |
| FEI/EIN Number | 59-3231709 |
| Address: | 7051 DR PHILLIPS BLVD, SUITE 5, ORLANDO, FL 32819 |
| Mail Address: | 7051 DR PHILLIPS BLVD, SUITE 5, ORLANDO, FL 32819 |
| ZIP code: | 32819 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356451686 | 2006-08-30 | 2020-08-22 | 7051 DR PHILLIPS BLVD, SUITE 5, ORLANDO, FL, 328195140, US | 7051 DR PHILLIPS BLVD, SUITE 5, ORLANDO, FL, 328195140, US | |||||||||||||||||||||||||
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| Phone | +1 407-363-2000 |
| Fax | 4073512239 |
Authorized person
| Name | MRS. SHARON A. WISTNER |
| Role | OFFICE MANAGER |
| Phone | 4073632000 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | ME50773 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS/BLUE SHIELD |
| Number | 09318 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LORI K. LAMBERT, M.D., P.A., 401(K) PSP AND TRUST | 2012 | 593231709 | 2013-04-02 | LORI K. LAMBERT, M.D., P.A. | 7 | |||||||||||||||||||||||||||
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| Active participants | 0 |
Signature of
| Role | Plan administrator |
| Date | 2013-02-07 |
| Name of individual signing | LORI K LAMBERT, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LAMBERT, LORI KM.D. | Agent | 7051 DR PHILLIPS BLVD, SUITE 5, ORLANDO, FL 32819 |
| Name | Role | Address |
|---|---|---|
| LAMBERT, LORI KM.D. | President | 7051 DR PHILLIPS BLVD, SUITE 5, ORLANDO, FL 32819 |
| Name | Role | Address |
|---|---|---|
| LAMBERT, LORI KM.D. | Secretary | 7051 DR PHILLIPS BLVD, SUITE 5, ORLANDO, FL 32819 |
| Name | Role | Address |
|---|---|---|
| LAMBERT, LORI KM.D. | Treasurer | 7051 DR PHILLIPS BLVD, SUITE 5, ORLANDO, FL 32819 |
| Name | Role | Address |
|---|---|---|
| LAMBERT, LORI KM.D. | Director | 7051 DR PHILLIPS BLVD, SUITE 5, ORLANDO, FL 32819 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-14 | LAMBERT, LORI KM.D. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1997-04-22 | 7051 DR PHILLIPS BLVD, SUITE 5, ORLANDO, FL 32819 | No data |
| CHANGE OF MAILING ADDRESS | 1997-04-22 | 7051 DR PHILLIPS BLVD, SUITE 5, ORLANDO, FL 32819 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1997-04-22 | 7051 DR PHILLIPS BLVD, SUITE 5, ORLANDO, FL 32819 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-01-31 |
| ANNUAL REPORT | 2012-01-23 |
| ANNUAL REPORT | 2011-01-11 |
| ANNUAL REPORT | 2010-01-14 |
| ANNUAL REPORT | 2009-01-08 |
| ANNUAL REPORT | 2008-01-14 |
| ANNUAL REPORT | 2007-01-16 |
| ANNUAL REPORT | 2006-01-09 |
| ANNUAL REPORT | 2005-01-10 |
| ANNUAL REPORT | 2004-02-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
