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Lawrence Tam, O.D.

Optometrist in Lafayette, LA. Individual provider (NPI-1).

NPI number1508242520
StatusActive
Last updated in NPPESSep 8, 2021

Details

NPI
1508242520
Entity type
Individual (NPI-1)
Name
Lawrence Tam
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 31, 2015
Certification date
Sep 8, 2021
Last updated
Sep 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist1793-727ATLAYes

Practice location

4500 Johnston St
Lafayette, LA 70503-4236

Phone 318-442-7711

Mailing address

4500 Johnston St
Lafayette, LA 70503-4236

Phone 318-442-7711

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