MEDICARE: JAMES J LAH MD PHD

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
1	2084N0400X	Neurology Physician	041863	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952358582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES J LAH MD PHD

Provider Business Mailing Address
First Line	:	1841 CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-4021
Country	:	US
Telephone Number	:	404-728-4936
Fax Number	:	404-728-6685

Provider Business Practice Location Address
First Line	:	12 EXECUTIVE PARK DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2206
Country	:	US
Telephone Number	:	404-778-3444
Fax Number	:	404-712-0278

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	02/22/2018

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