# THERESA NOELLE LANHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1972037208
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MB10757100 | NJ | — |
| 207R00000X | Internal Medicine Physician | OT017578 | PA | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 05389 | KY | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | TP154 | KY | — |

## Other

- **Enumeration date:** 04/13/2017
- **Last updated:** 12/16/2022