Individual
JEANETTE M LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1051
NV
152W00000X
Optometrist
TA-1801
MD
Other
Enumeration date
02/13/2007
Last updated
02/01/2021
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