Organization
PATHOLOGY ASSOCIATES II OF EASTERN NORTH CAROLINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R LAMM MD (VICE PRESIDENT)
(252) 335-0531
Entity
Organization
Contact information
Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3353
(252) 335-0531
Mailing address
PO BOX 3391, MARTINSVILLE, VA 24115-3391
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0250T
BCBS OF NORTH CAROLINA
NC
05
—
79012VC
—
NC
01
—
CH2251
RAILROAD MEDICARE
—
Enumeration date
09/06/2005
Last updated
04/29/2008
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