Individual
JOHN TIMOTHY LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1530
(601) 984-1531
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1530
(601) 984-1531
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18833
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01880521
—
MS
01
—
CN1327
RR MEDICARE GROUP (UPA)
MS
01
—
P00361807
RAILROAD MEDICARE
MS
01
—
P00669660
RR MEDICARE
MS
01
—
P01435530
RAILROAD MEDICARE PTAN
MS
Enumeration date
07/12/2006
Last updated
01/06/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us