Lam, John Timothy

Lam, John Timothy is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Lam, John Timothy can be contacted via phone (601) 984-1530.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-1530
Fax: (601) 984-1531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 18833 Mississippi

Profile Details

NPI number 1821013012
LBN Legal business name Lam, John Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jan 6th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821013012 NPPES
Mississippi Other CN1327 RR MEDICARE GROUP (UPA)
Mississippi Other P00669660 RR MEDICARE GROUP (UPA)
Mississippi Other P01435530 RR MEDICARE GROUP (UPA)
Mississippi Other P00361807 RR MEDICARE GROUP (UPA)
Mississippi MEDICAID 01880521 RR MEDICARE GROUP (UPA)

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