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General NPI Number Information
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NPI Number | 1417933250
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Entity Type | Individual
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Provider Name | ANITA S LAM O.D.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 1455 NW LEARY WAY SUITE 300
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City | SEATTLE
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State | WA
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Zip | 98107-5124
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Country | US
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Telephone | 206-784-3350
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Fax | 206-781-8693
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Provider Business Mailing Address
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Address Line | 1101 MADISON ST SUITE 600
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City | SEATTLE
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State | WA
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Zip | 98104-1306
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Country | US
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Telephone | 206-215-2004
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Fax | 206-215-2055
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD00003728
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License Number State | WA
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