LOC LAM

FORT LEONARD WOOD, MO
NPI1447624069
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TX  AP128830)
Enumeration Date2015-11-19
Last Update Date2023-02-14
Business Address
LOC LAM PMHNP
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-593-0417
Mailing Address
LOC LAM PMHNP
LANDSTUHL REGIONAL MEDICAL CENTER CMR 402
APO, AE 09180
Phone number: