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Contact Information

TIDA LAM, D.O
1964 S MAIN ST
WAKE FOREST, NC27587
 Phone: 919-554-0177
 Fax: 919-554-9277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TIDA LAM · (Female)

NPI # 1114331204
Status Active
Credentials D.O
Entity Individual
Enumeration date 06/17/2014
Last updated 05/07/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 271164
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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