Lam, George
Lam, George is an sole proprietor health care provider with primary practice located at 1430 E Mcandrews Rd , Medford OR 97504-6108. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lam, George can be contacted via phone (541) 772-7273.Contact Information
Primary practice address
1430 E Mcandrews Rd
Medford OR 97504-6108
Phone: (541) 772-7273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 24367 | Oregon |
Profile Details
| NPI number | 1861495970 |
|---|---|
| LBN Legal business name | Lam, George |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | Feb 3rd, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861495970 | NPPES |
| Oregon | MEDICAID | 116629 |
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