Individual
GARY MAN LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2510 AIRPARK DR 106, REDDING, CA 96001-2461
(530) 241-9800
(530) 241-9808
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(530) 241-9800
(530) 241-9808
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G84812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200368580
—
IN
Enumeration date
08/10/2006
Last updated
09/14/2015
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