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Individual

DANIEL J LAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
489 E 21ST ST, SAN BERNARDINO, CA 92404-4816
(909) 882-2973
(909) 882-2681
Mailing address
489 E 21ST ST, SAN BERNARDINO, CA 92404-4816
(909) 882-2973
(909) 882-2681

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G684420
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G684220
BLUE CROSS/BLUE SHIELD
CA
05
00G684420
CA
01
340008330
RR MEDICARE
CA
Enumeration date
07/27/2006
Last updated
05/02/2008
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