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Individual

DR. TRAVIS LAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3815 E BELL RD STE 3100, PHOENIX, AZ 85032-2156
(480) 916-3376
(602) 835-2698
Mailing address
2285 CORPORATE CIR, STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
005480
AZ
208D00000X
General Practice Physician
58.002277
OH

Other

Enumeration date
04/10/2007
Last updated
03/13/2023
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