Organization
CHARLES LAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LAM MD (MEDICAL DOCTOR)
(760) 267-0728
Entity
Organization
Contact information
Practice address
8118 GRAND RDG, LAMAR, CO 81052-9771
(760) 267-0799
Mailing address
8118 GRAND RDG, LAMAR, CO 81052-9771
(760) 267-0799
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
54739
CO
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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