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NPI Code Detail

MEDICARE: BEN W. LAM, D.P.M., P.C.

MEDICARE: BEN W. LAM, D.P.M., P.C.
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
1213ES0131XFoot Surgery Podiatrist0642TX

Other Identifiers

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

General Provider Information

NPI Number : 1174622260
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEN W. LAM, D.P.M., P.C.
Provider Business Mailing Address
First Line : 1702 KELL BLVD
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76301-5627
Country : US
Telephone Number : 940-766-1292
Fax Number : 940-723-1650
Provider Business Practice Location Address
First Line : 1702 KELL BLVD
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76301-5627
Country : US
Telephone Number : 940-766-1292
Fax Number : 940-723-1650
Authorized Official
Title or Position : PRESIDENT
Name : DR. BEN W. LAM
Credential : D.P.M.
Telephone Number : 940-766-1292
Provider Enumeration Date : 09/22/2006
Last Update Date : 04/29/2011

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Directions to “BEN W. LAM, D.P.M., P.C. ” Practice Location

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