Individual
LORETTA LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
208 W. CERMAK RD, SUITE 822, CHICAGO, IL 60616
(312) 339-5102
(312) 263-0906
Mailing address
208 W. CERMAK RD, SUITE 822, CHICAGO, IL 60616
(312) 339-5102
(312) 263-0906
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-024829
IL
1223G0001X
General Practice Dentistry
019-024829
IL
Other
Enumeration date
08/13/2009
Last updated
04/25/2011
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