Mack, Lamar Octavius

Mack, Lamar Octavius is an sole proprietor health care provider with primary practice located at 820 S Akers St Ste 120, Visalia CA 93277-8306. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Mack, Lamar Octavius can be contacted via phone (559) 625-4118.

Contact Information

Primary practice address
820 S Akers St Ste 120 Visalia CA 93277-8306
Phone: (559) 625-4118
Fax: (559) 625-6004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Tennessee
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X A123815 California

Profile Details

NPI number 1093970535
LBN Legal business name Mack, Lamar Octavius
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2008
Last updated Feb 11th, 2021 - about 3 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.

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