Individual
DR. LAKEDRA S. PAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 HARRISON AVENUE, YACC 5, BOSTON, MA 02118-4001
(617) 414-2000
(617) 414-5798
Mailing address
801 ALBANY STREET, FL G, BOSTON, MA 02119-3791
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
202981
MA
207V00000X
Obstetrics & Gynecology Physician
Primary
282901
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110162037A
—
MA
Enumeration date
06/14/2010
Last updated
12/29/2020
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