Individual
DR. LOAN KIM LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
3609 MADACA LN, TAMPA, FL 33618-2048
(800) 991-6117
Mailing address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(800) 991-6117
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
PO3302
FL
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
PO3302
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3302
FL
Other
Enumeration date
05/03/2007
Last updated
07/24/2025
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