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NPI Code Detail

MEDICARE: GIANG LAM A PROFESSION CORP

MEDICARE: GIANG LAM A PROFESSION CORP
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
1305R00000XPreferred Provider Organization5141NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11891879557OTHERNVNPI TYPE 1

General Provider Information

NPI Number : 1639411473
Entity Type Code : Organization
Provider Name (Legal Business Name) : GIANG LAM A PROFESSION CORP
Provider Business Mailing Address
First Line : 6545 S FORT APACHE RD
Second Line : 110
City : LAS VEGAS
State : NV
Zip : 89148-6752
Country : US
Telephone Number : 702-331-4444
Fax Number : 702-749-6200
Provider Business Practice Location Address
First Line : 6545 S FORT APACHE RD
Second Line : 110
City : LAS VEGAS
State : NV
Zip : 89148-6752
Country : US
Telephone Number : 702-331-4444
Fax Number : 702-749-6200
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : DR. GIANG CHI LAM
Credential : DDS
Telephone Number : 702-331-4444
Provider Enumeration Date : 03/19/2013
Last Update Date : 06/17/2013

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Directions to “GIANG LAM A PROFESSION CORP ” Practice Location

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