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Organization
PATHOLOGY ASSOCIATES II OF EASTERN NORTH CAROLINA PC
Active
Organization
PATHOLOGY ASSOCIATES II OF EASTERN NORTH CAROLINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R LAMM MD (VICE PRESIDENT)
(252) 335-0531
Entity
Organization
Contact information
Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3353
(252) 335-0531
Mailing address
PO BOX 3391, MARTINSVILLE, VA 24115-3391
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0250T
BCBS OF NORTH CAROLINA
NC
05
—
79012VC
—
NC
01
—
CH2251
RAILROAD MEDICARE
—
Enumeration date
09/06/2005
Last updated
04/29/2008
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