Individual
LAWRENCE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
606 24TH AVE S, MINNEAPOLIS, MN 55454-1455
(612) 659-8691
Mailing address
131 BAY 13TH ST, BROOKLYN, NY 11214-4503
(718) 308-6766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
R777
MN
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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