Individual
DR. GEORGE LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1430 E MCANDREWS RD, MEDFORD, OR 97504-6108
(541) 772-7273
Mailing address
1430 E MCANDREWS RD, MEDFORD, OR 97504-6108
(541) 772-7273
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
24367
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116629
—
OR
Enumeration date
05/23/2005
Last updated
02/03/2010
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