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NPI Code Detail

MEDICARE: SOPHIE LAM-GERMANY LLC

MEDICARE: SOPHIE LAM-GERMANY LLC
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
11041C0700XClinical Social Worker3829OK

General Provider Information

NPI Number : 1851783880
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOPHIE LAM-GERMANY LLC
Provider Business Mailing Address
First Line : PO BOX 890788
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73189-0788
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2629 W I 44 SERVICE RD STE 213
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-3762
Country : US
Telephone Number : 405-206-7802
Fax Number :
Authorized Official
Title or Position : SOLE PROPRIETOR, LCSW
Name : SOPHIE LAM GERMANY
Credential :
Telephone Number : 405-206-7802
Provider Enumeration Date : 02/27/2015
Last Update Date : 02/27/2015

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Directions to “SOPHIE LAM-GERMANY LLC ” Practice Location

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