Provider Demographics
NPI:1427766310
Name:MORAN LAM, NATALY
Entity type:Individual
Prefix:
First Name:NATALY
Middle Name:
Last Name:MORAN LAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7987 NW 7TH ST APT 4
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4021
Mailing Address - Country:US
Mailing Address - Phone:786-618-0057
Mailing Address - Fax:
Practice Address - Street 1:7987 NW 7TH ST APT 4
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4021
Practice Address - Country:US
Practice Address - Phone:786-618-0057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist