Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD-47933 | IA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 46461 | TN |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | C0188 | KY |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | M-14881 | ID |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD-47933 | IA |
NPI | 1033172713 |
---|---|
Provider Name | Dr. Garrett K. Lam |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 08/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H18916 | (02) | AZ |