Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | M7190 | ID |
Y | 207XS0106X | Orthopaedic Hand Surgeon | M7190 | ID |
NPI | 1124073549 |
---|---|
Provider Name | Dr. David M Lamey |
First Address | Boise, ID 83706-1341 |
Second Address | Boise, ID 83706-1341 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 01/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
804075600 | (05) | ID |
G42032 | (02) |