Individual
GREGORY MATHIAS LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7661 BEECHMONT AVE STE 120, CINCINNATI, OH 45255-4234
(513) 231-9010
(513) 231-9706
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-7930
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
03484
KY
207RG0100X
Gastroenterology Physician
Primary
34.013404
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070048
—
OH
05
—
7100213520
—
KY
Enumeration date
07/26/2006
Last updated
11/18/2019
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