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NPI Code Detail

MEDICARE: ANTHEA LAM

MEDICARE: ANTHEA LAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist299618CA

General Provider Information

NPI Number : 1043816705
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHEA LAM
Provider Business Mailing Address
First Line : 2114 21ST AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94116-1701
Country : US
Telephone Number : 415-430-8581
Fax Number :
Provider Business Practice Location Address
First Line : 1050 SAN MIGUEL RD
Second Line :
City : CONCORD
State : CA
Zip : 94518-2094
Country : US
Telephone Number : 925-825-4280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2020
Last Update Date : 05/31/2022

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Directions to “ ANTHEA LAM ” Practice Location

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