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Organization

LAMD MEDICAL GROUP MULTISPECIALITY

Active
Other names
LAMD Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHNNY THOMAS DO (MEDICAL DIRECTOR)
(718) 639-3603
Entity
Organization

Contact information

Practice address
3703 92ND ST, JACKSON HEIGHTS, NY 11372-7929
(718) 639-3603
Mailing address
3703 92ND ST, JACKSON HEIGHTS, NY 11372-7929
(718) 639-3603

Taxonomy

Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
214048
NY

Other

Enumeration date
12/03/2015
Last updated
12/03/2015
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