Provider Demographics
NPI:1407866650
Name:LAM, SON G (MD)
Entity Type:Individual
Prefix:
First Name:SON
Middle Name:G
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name Type:
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Mailing Address - Street 1:1790 BARRON ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-5705
Mailing Address - Country:US
Mailing Address - Phone:662-236-2900
Mailing Address - Fax:662-236-2922
Practice Address - Street 1:1790 BARRON ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5705
Practice Address - Country:US
Practice Address - Phone:662-236-2900
Practice Address - Fax:662-236-2922
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2023-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS19369207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS19369OtherSTATE BOARD OF MISSISSIPP