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General NPI Number Information
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NPI Number | 1720939192
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Entity Type | Organization
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Legal Business Name | STRATUM OF PA PC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 55 BROADWAY STE R
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City | BANGOR
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State | PA
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Zip | 18013-2665
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Country | US
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Telephone | 484-276-3277
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Fax |
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Provider Business Mailing Address
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Address Line | 55 BROADWAY STE R
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City | BANGOR
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State | PA
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Zip | 18013-2665
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALLISON LAM
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Credential | MD
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Telephone | 484-276-3277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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