Healthcare Provider Details

I. General information

NPI: 1942775283
Provider Name (Legal Business Name): SAVANNAH LAM CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2018
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 GREENHOUSE RD
RUSTBURG VA
24588-2458
US

IV. Provider business mailing address

3105 FORT AVE
LYNCHBURG VA
24501-3809
US

V. Phone/Fax

Practice location:
  • Phone: 434-221-3981
  • Fax:
Mailing address:
  • Phone: 434-221-3981
  • Fax: 888-570-4640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: