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Lamar Octavius Mack, MD
Vascular Surgery Physician in Visalia, California
NPI 1093970535

Lamar Octavius Mack is a Vascular Surgery Physician based in Visalia, CA and is specialized in Vascular Surgery. Lamar Octavius Mack practices in Visalia, CA and has the professional credentials of MD. The NPI Number for Lamar Octavius Mack is 1093970535 and holds a License No. (California).

The current practice location address for Lamar Octavius Mack is 820 S Akers St, Visalia, CA and can be reached out via phone at 559-625-4118 and via fax at 559-625-6004. You can also correspond with Lamar Octavius Mack through the mailing address at 820 S AKERS ST, VISALIA, CA - 93277-8306 (mailing address contact number: 559-625-4118).

Location: 820 S Akers St, Visalia, CA, 93277-8306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093970535
Provider Name
Lamar Octavius Mack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
820 S Akers St, Visalia, CA, 93277-8306
Phone Number
559-625-4118
Fax Number
559-625-6004
Provider Enumeration Date
07/24/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
820 S Akers St
City
Visalia
State
California
Zip
93277-8306
Phone Number
559-625-4118
Fax Number
559-625-6004
person
Provider Business Mailing Address Details
Address
820 S Akers St
City
Visalia
State
California
Zip
93277-8306
Phone Number
559-625-4118
Fax Number
559-625-6004
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
A123815 (California)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Tennessee)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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