Individual
LORI LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3305 E FRYE BOULAVERD, SIERRA VISTA, AZ 85635
(520) 515-2937
Mailing address
3305 E FRYE BOULAVERD, SIERRA VISTA, AZ 85635
(520) 515-2937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
290216
AZ
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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