Individual
NATHAN AARON LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6000
Mailing address
3790 117TH LN NW, COON RAPIDS, MN 55433-2666
(763) 421-7300
(763) 421-3337
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1070
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
TP-203
MN
Other
Enumeration date
06/19/2014
Last updated
11/09/2020
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