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NPI Code Detail

MEDICARE: ASHLEY DIEP-LAM

MEDICARE:   ASHLEY  DIEP-LAM
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
1152W00000XOptometristOPC6001FL

General Provider Information

NPI Number : 1992467757
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY DIEP-LAM
Provider Business Mailing Address
First Line : 5817 SUNSET DR
Second Line :
City : SOUTH MIAMI
State : FL
Zip : 33143-5219
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5817 SUNSET DR
Second Line :
City : SOUTH MIAMI
State : FL
Zip : 33143-5219
Country : US
Telephone Number : 305-661-1205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2021
Last Update Date : 10/08/2021

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Directions to “ ASHLEY DIEP-LAM ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.