Provider Demographics
NPI:1760577639
Name:LAMM, DONALD LEE (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:LEE
Last Name:LAMM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3815 E BELL RD
Mailing Address - Street 2:STE 1210
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2129
Mailing Address - Country:US
Mailing Address - Phone:602-493-6626
Mailing Address - Fax:602-996-1383
Practice Address - Street 1:3815 E BELL RD
Practice Address - Street 2:STE 1210
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2129
Practice Address - Country:US
Practice Address - Phone:602-493-6626
Practice Address - Fax:602-996-1383
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2017-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ29562208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ597320Medicaid
AZ597320Medicaid
AZZ84796Medicare PIN