Individual
DR. TITA CUA LAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4355 INNSLAKE DR, GLEN ALLEN, VA 23060-6742
(804) 967-9225
(804) 545-1686
Mailing address
PO BOX 403751, ATLANTA, GA 30384-3751
(804) 967-9225
(804) 545-1686
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101044893
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L8404
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME86119
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401120
GHI
NY
Enumeration date
09/06/2006
Last updated
12/15/2021
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