MEDICARE: DR. YUN KIT 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
1	207R00000X	Internal Medicine Physician	81549	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134100894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YUN KIT LAM M.D.

Provider Business Mailing Address
First Line	:	750 WASHINGTON ST
Second Line	:	NEMC BOX 859
City	:	BOSTON
State	:	MA
Zip	:	02111-1526
Country	:	US
Telephone Number	:	617-636-8871
Fax Number	:	617-636-8870

Provider Business Practice Location Address
First Line	:	252 TREMONT ST
Second Line	:	1/F
City	:	BOSTON
State	:	MA
Zip	:	02116-5603
Country	:	US
Telephone Number	:	617-636-8871
Fax Number	:	617-636-8870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	12/10/2009

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