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NPI Code Detail

MEDICARE: DR. JASON CHUN SANG LAM M.D.

MEDICARE:  DR. JASON CHUN SANG LAM  M.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
1207LP2900XPain Medicine (Anesthesiology) Physician060528GA
2207LP3000XPediatric Anesthesiology Physician060528GA
3208VP0000XPain Medicine Physician060528GA
4208VP0014XInterventional Pain Medicine Physician060528GA
5207L00000XAnesthesiology Physician060528GA

General Provider Information

NPI Number : 1073559894
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON CHUN SANG LAM M.D.
Provider Business Mailing Address
First Line : 3365 ROBINSON RD NE
Second Line :
City : MARIETTA
State : GA
Zip : 30068-2441
Country : US
Telephone Number : 404-309-3330
Fax Number :
Provider Business Practice Location Address
First Line : 80 JESSE HILL JR DR SE
Second Line :
City : ATLANTA
State : GA
Zip : 30303-3050
Country : US
Telephone Number : 404-616-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 05/02/2023

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