Provider Demographics
NPI:1073049177
Name:LE, LAM ANH (DMD)
Entity type:Individual
Prefix:DR
First Name:LAM
Middle Name:ANH
Last Name:LE
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9028 DOWDEN RD
Mailing Address - Street 2:APT 319
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-6805
Mailing Address - Country:US
Mailing Address - Phone:407-520-7716
Mailing Address - Fax:
Practice Address - Street 1:4809 ARGONNE ST STE 160
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-6835
Practice Address - Country:US
Practice Address - Phone:303-954-0957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-10
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002050141223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty