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NPI Code Detail

MEDICARE: MICHELLE LAM PHARM D

MEDICARE: MICHELLE LAM PHARM D
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
1183500000XPharmacist18856OK

General Provider Information

NPI Number : 1023618360
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LAM PHARM D
Provider Business Mailing Address
First Line : 5521 LEDGESTONE DR
Second Line :
City : MUSTANG
State : OK
Zip : 73064-7271
Country : US
Telephone Number : 405-875-4374
Fax Number :
Provider Business Practice Location Address
First Line : 1500 SW 59TH ST # AT
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-7214
Country : US
Telephone Number : 405-684-9764
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2020
Last Update Date : 10/27/2020

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Directions to “ MICHELLE LAM PHARM D” Practice Location

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