Individual
JOHANNA FORMAN LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 WASHINGTON ST STE 544, NEWTON, MA 02462
(617) 910-0368
(888) 806-8144
Mailing address
2000 WASHINGTON ST STE 544, NEWTON, MA 02462-1624
(617) 910-0368
(888) 806-8144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2276817
MA
Other
Enumeration date
07/24/2014
Last updated
10/08/2018
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