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Individual

CARMELITA Q LAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6606 LBJ FWY, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
565334
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP103467
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
088909901
TX
Enumeration date
09/22/2006
Last updated
03/10/2023
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