Individual
MIGUEL A LALAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3112 FAIRVIEW DR, OWENSBORO, KY 42303
(270) 922-2500
(270) 922-2505
Mailing address
3112 FAIRVIEW DR, OWENSBORO, KY 42303
(270) 922-2500
(270) 922-2505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51452
KY
207RG0100X
Gastroenterology Physician
Primary
51452
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100546600
—
KY
Enumeration date
06/14/2010
Last updated
10/06/2022
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