Individual
JUAN A LAMA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 MEDICAL BLVD, SUITE B, STOCKBRIDGE, GA 30281-5053
(770) 389-9944
(770) 389-1973
Mailing address
150 MEDICAL BLVD, SUITE B, STOCKBRIDGE, GA 30281-5053
(770) 389-9944
(770) 389-1973
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
033380
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110001567
HEALTH SOURCE
—
01
—
055865
BCBS
—
01
—
0928045
AETNA SELECT/US HEALTHC
—
01
—
1202800
UNITED HEALTHCARE
—
01
—
274907
AETNA
—
01
—
581487734003
PRUCARE
—
01
—
7804
KAISER
—
01
—
S06119
SC HEALTHSOURCE
—
Enumeration date
08/09/2005
Last updated
07/09/2007
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