Lam Medical, Llc | |
2040 S Calhoun St Fort Wayne IN 46802-6412 | |
(260) 444-5695 | |
(260) 444-5665 |
Full Name | Lam Medical, Llc |
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Speciality | Internal Medicine |
Location | 2040 S Calhoun St, Fort Wayne, Indiana |
Authorized Official Name and Position | Lluvia E Saran (PARTNER) |
Authorized Official Contact | 2604445695 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lam Medical, Llc 2040 S Calhoun St Fort Wayne IN 46802-6412 Ph: (260) 444-5695 | Lam Medical, Llc 2040 S Calhoun St Fort Wayne IN 46802-6412 Ph: (260) 444-5695 |
NPI Number | 1932856978 |
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Provider Enumeration Date | 03/09/2022 |
Last Update Date | 03/09/2022 |
Medicare PECOS PAC ID | 7214310929 |
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Medicare Enrollment ID | O20220812002284 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932856978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Eromonsele O Idahosa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588659924 PECOS PAC ID: 0749202877 Enrollment ID: I20060104000262 |
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