Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | 0101247401 | VA |
Y | 207Q00000X | Family Doctor | 2011-01928 | NC |
NPI | 1104087717 |
---|---|
Provider Name | Yen-Jwu O Lamm |
First Address | Virginia Beach, VA 23466-2327 |
Second Address | Miramar, FL 33027-6308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2008 |
Last Update Date | 12/05/2016 |