Provider Demographics
NPI:1659828143
Name:LAM, NANCY (DC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:LAM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WALTER SCHOLER DR STE B
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-6382
Mailing Address - Country:US
Mailing Address - Phone:765-607-1977
Mailing Address - Fax:765-607-1991
Practice Address - Street 1:2 WALTER SCHOLER DR STE B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47909-6382
Practice Address - Country:US
Practice Address - Phone:765-607-1977
Practice Address - Fax:765-607-1991
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002924A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor