Individual
AUSTIN REID LAMAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
621 HILLSIDE DRIVE, BETHALTO, IL 62010
(779) 537-7831
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031675
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
04/13/2020
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