Provider Demographics
NPI:1063562981
Name:LE, LAM (MD)
Entity type:Individual
Prefix:
First Name:LAM
Middle Name:
Last Name:LE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4538 S HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2906
Mailing Address - Country:US
Mailing Address - Phone:918-712-3377
Mailing Address - Fax:918-712-3373
Practice Address - Street 1:4538 S HARVARD AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2906
Practice Address - Country:US
Practice Address - Phone:918-712-3377
Practice Address - Fax:918-712-3373
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK24067207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine