Individual
LAM LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 PLEASANT HILL RD STE C-4, DULUTH, GA 30096-5899
(678) 765-8476
(678) 765-8479
Mailing address
1630 PLEASANT HILL RD STE C-4, DULUTH, GA 30096-5899
(678) 765-8476
(678) 765-8479
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
RPH026949
GA
183500000X
Pharmacist
Primary
RPH026949
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026949
PHARMACIST
GA
Enumeration date
10/20/2010
Last updated
04/05/2026
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