Individual
DR. EVERETT J LAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
(203) 777-8506
Mailing address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
(203) 777-8506
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11630
NH
2080A0000X
Pediatric Adolescent Medicine Physician
269024
MA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
66626
CT
2080A0000X
Pediatric Adolescent Medicine Physician
MD17852
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008085713
—
CT
Enumeration date
09/28/2006
Last updated
12/28/2020
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