TIDA LAM

WAKE FOREST, NC
NPI1114331204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MA  271164)
Enumeration Date2014-06-17
Last Update Date2019-05-07
Business Address
TIDA LAM D.O
1964 S MAIN ST
WAKE FOREST, NC 27587
Phone number: 919-554-0177
Mailing Address
TIDA LAM D.O
10900 WORLD TRADE BLVD
RALEIGH, NC 27617-4202
Phone number: 630-740-0574
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