Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 01401 | MD |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | PO 3815 | FL |
NPI | 1275576316 |
---|---|
Provider Name | Dr. Bradley M Lamm |
First Address | West Palm Beach, FL 33407-2413 |
Second Address | West Palm Beach, FL 33407-2413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 03/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
405437700 | (05) | MD |
CG3092 | R/R MEDICARE GROUP # (01) | MD |
IP37IZ | (02) | FL |
P00184622 | R/R MEDICARE PROVIDER # (01) | MD |
U99849 | (02) | MD |