Provider Demographics
NPI:1891952537
Name:GIANG N LAM, M.D., P.C.
Entity Type:Organization
Organization Name:GIANG N LAM, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GIANG
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-445-4803
Mailing Address - Street 1:218 HOSPITAL AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:OZARK
Mailing Address - State:AL
Mailing Address - Zip Code:36360-2064
Mailing Address - Country:US
Mailing Address - Phone:334-445-4803
Mailing Address - Fax:
Practice Address - Street 1:218 HOSPITAL AVE
Practice Address - Street 2:SUITE B
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-2064
Practice Address - Country:US
Practice Address - Phone:334-445-4803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD26962207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALI43194Medicare UPIN