Healthcare Provider Details

I. General information

NPI: 1184034563
Provider Name (Legal Business Name): JOANNE LAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2014
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 S CEDAR CREST BLVD STE 2500
ALLENTOWN PA
18103-6240
US

IV. Provider business mailing address

1255 S CEDAR CREST BLVD STE 2500
ALLENTOWN PA
18103-6240
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-8759
  • Fax: 610-740-0560
Mailing address:
  • Phone: 610-402-8759
  • Fax: 610-710-0560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD472397
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: