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NPI Code Detail

MEDICARE: STEPHEN LAM DO PHARMD

MEDICARE:   STEPHEN LAM DO  PHARMD
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
1183500000XPharmacist13423OK

General Provider Information

NPI Number : 1134403348
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN LAM DO PHARMD
Provider Business Mailing Address
First Line : 3614 S FIR BLVD
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74011-1738
Country : US
Telephone Number : 918-251-5665
Fax Number :
Provider Business Practice Location Address
First Line : 1770 S ELM PL
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-6453
Country : US
Telephone Number : 918-258-6185
Fax Number : 918-258-6188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2011
Last Update Date : 02/09/2026

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