Provider Demographics
NPI:1639156938
Name:LAMM, WILLIAM D (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:LAMM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1057 RICHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-1926
Mailing Address - Country:US
Mailing Address - Phone:240-522-0123
Mailing Address - Fax:240-522-0104
Practice Address - Street 1:12500 WILLOWBROOK RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-6393
Practice Address - Country:US
Practice Address - Phone:240-964-8564
Practice Address - Fax:240-964-8563
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0025406207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0214942000Medicaid
MD416577 02OtherCARE FIRST BC BS
MD262561000Medicaid
MD416577 03OtherCAREFIRST BC BS
DCJ697 0003OtherBLUE CHOICE
MDP00135061OtherTRAVELERS MEDICARE
MDP00800399OtherRR MCR
WV0214942000Medicaid
MD132239Y1ZMedicare PIN