Individual
DR. PRUDENCE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 MOUNT AUBURN ST, WYMAN 3, CAMBRIDGE, MA 02138-5502
(617) 497-9646
(617) 499-5464
Mailing address
330 MOUNT AUBURN ST, WYMAN 3, CAMBRIDGE, MA 02138-5502
(617) 497-9646
(617) 499-5464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
217283
MA
207RH0003X
Hematology & Oncology Physician
Primary
217283
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029987
—
MA
Enumeration date
08/15/2005
Last updated
11/07/2013
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