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NPI Code Detail

MEDICARE: TIFFANY LAM

MEDICARE:   TIFFANY  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
1235Z00000XSpeech-Language PathologistSP-4340NV

General Provider Information

NPI Number : 1851912786
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY LAM
Provider Business Mailing Address
First Line : 8350 W DESERT INN RD APT 2102
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-9125
Country : US
Telephone Number : 443-562-7928
Fax Number :
Provider Business Practice Location Address
First Line : 6465 W SAHARA AVE STE 103
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3071
Country : US
Telephone Number : 702-595-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2020
Last Update Date : 12/26/2025

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Directions to “ TIFFANY LAM ” Practice Location

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