Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 2014-01006 | NC |
N | 207Q00000X | Family Doctor | 26270 | MN |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 2014-01006 | NC |
NPI | 1245219567 |
---|---|
Provider Name | Gary Leslie Lamson |
First Address | Asheville, NC 28801-4160 |
Second Address | Asheville, NC 28801-4160 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 08/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1245219567 | (05) | NC |
189N0 | BCBSNC (01) | NC |
906263700 | (05) | MN |
D48743 | (02) |