Lamar Octavius Mack
Vascular Surgeon
820 S Akers St Ste 120
Visalia
, California 93277-8306
Lamar Octavius Mack
Vascular Surgeon
820 S Akers St Ste 120
Visalia
, California 93277-8306
(559) 625-6004
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Lamar Octavius Mack
- 820 S Akers St Ste 120
- Visalia, CA
- Zip : 93277-8306
- Fax : (559) 625-6004
- Phone : (559) 625-4118
Second Address
- Lamar Octavius Mack
- 820 S Akers St Ste 120
- Visalia, CA
- Zip : 93277-8306
- Fax : (559) 625-6004
- Phone : (559) 625-4118
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | A123815 | CA |
National Provider Identifier
| NPI | 1093970535 |
|---|---|
| Provider Name | Lamar Octavius Mack |
| First Address | Visalia, CA 93277-8306 |
| Second Address | Visalia, CA 93277-8306 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2008 |
| Last Update Date | 11/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.