Individual
NIDA N LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
694 WESTERN AVE, LYNN, MA 01905-2229
(781) 595-7348
(781) 598-3583
Mailing address
PO BOX 526, LYNN, MA 01903-0626
(781) 595-7348
(781) 598-3583
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN268284
MA
363L00000X
Nurse Practitioner
Primary
RN268284
MA
Other
Enumeration date
08/02/2010
Last updated
08/26/2014
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