Provider Demographics
NPI:1275594517
Name:LAMAR, DANIEL CAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CAINE
Last Name:LAMAR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 500118
Mailing Address - Street 2:SUITE 108-112
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-0118
Mailing Address - Country:US
Mailing Address - Phone:670-235-0998
Mailing Address - Fax:670-234-3742
Practice Address - Street 1:BEACH ROAD, OLEAI BUS. CENTER
Practice Address - Street 2:1ST FLOOR, SUITE 108-112
Practice Address - City:SAN JOSE
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-235-0996
Practice Address - Fax:670-234-3742
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2009-06-04
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Provider Licenses
StateLicense IDTaxonomies
MP0096207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E97547Medicare UPIN