Provider Demographics
NPI:1932856978
Name:LAM MEDICAL, LLC
Entity Type:Organization
Organization Name:LAM MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LLUVIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SARAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-444-5695
Mailing Address - Street 1:2040 S CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46802-6412
Mailing Address - Country:US
Mailing Address - Phone:260-444-5695
Mailing Address - Fax:260-444-5665
Practice Address - Street 1:2040 S CALHOUN ST
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-6412
Practice Address - Country:US
Practice Address - Phone:260-444-5695
Practice Address - Fax:260-444-5665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty