Jonathan Lam, OD
Optometrist in Prescott, AZ. Individual provider (NPI-1).
NPI number1164042461
StatusActive
Last updated in NPPESSep 27, 2024
Details
- NPI
- 1164042461
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Lam
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2020
- Certification date
- Sep 27, 2024
- Last updated
- Sep 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0618002879 | VA | Yes |
Practice location
500 N Us Highway 89Prescott, AZ 86313-5001
Phone 928-717-7477
Mailing address
500 N Us Highway 89Prescott, AZ 86313-5001
Phone 928-717-7477
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All 38 Optometrist providers in Prescott · All 2,576 providers in Prescott
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