Tida Lam, DO
Family Medicine in Wake Forest, North Carolina
1114331204- Practice location
- 1964 S Main St, Wake Forest, NC 27587
- Phone
- 919-554-0177
- Fax
- 919-554-9277
- Last updated
- May 7, 2019
Tida Lam is a Family Medicine based in Wake Forest, NC. Tida Lam practices in Wake Forest, NC and has the professional credentials of DO. The NPI Number for Tida Lam is 1114331204 and holds a License No. 271164 (MA). The current practice location address for Tida Lam is 1964 S Main St, Wake Forest, NC 27587 and can be reached out via phone at 919-554-0177 and via fax at 919-554-9277.
Provider Profile Details
- NPI Number
- 1114331204
- Provider Name
- Tida Lam
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1964 S Main St, Wake Forest, NC 27587
- Phone Number
- 919-554-0177
- Fax Number
- 919-554-9277
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 17, 2014
- Last Update Date
- May 7, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1964 S Main St
Wake Forest, NC 27587 - City
- Wake Forest
- State
- North Carolina
- Zip
- 27587
- Phone Number
- 919-554-0177
- Fax Number
- 919-554-9277
Provider Business Mailing Address Details
- Address
- 10900 World Trade Blvd
Raleigh, NC 27617-4202 - City
- Raleigh
- State
- NC
- Zip
- 27617-4202
- Phone Number
- 630-740-0574
- Fax Number
- 603-228-7307
License Information
- License Number
- 271164
- License State
- MA
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Wake Forest, NC
View all Family Medicine providers in Wake Forest →Frequently Asked Questions
What is the NPI number of Tida Lam, DO?
The NPI number of Tida Lam, DO is 1114331204. It was assigned on June 17, 2014 and is currently active in the NPPES registry.
What is the specialty of Tida Lam, DO?
Tida Lam, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 271164.
Where does Tida Lam, DO practice?
The practice location is 1964 S Main St, Wake Forest, NC 27587. The office can be reached at 919-554-0177 (phone) or 919-554-9277 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114331204 directly on the NPPES registry website.