Active NPI
Clarence K Lam, MD
- Public Health & General Preventive Medicine Physician
- Baltimore, MD
National Provider Identifier
1174783534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- D70162
- Practice address
- 1800 Orleans St.
Baltimore, MD 21287 - Phone
- (443) 849-2682
- Fax
- (443) 849-8030
- NPI assigned
- Jun 10, 2008
- Last updated
- Oct 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | D70162 | MD | Primary |
Addresses
Primary practice location
1800 Orleans St.
Baltimore, MD 21287
Mailing address
615 N. Wolfe St.
Suite Wb602
Baltimore, MD 21205
Phone (443) 849-2682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D70162 | MD | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1174783534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N. WOLFE ST.",
"address_2": "SUITE WB602",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21205",
"telephone_number": "443-849-2682",
"fax_number": "443-849-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 ORLEANS ST.",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "443-849-2682",
"fax_number": "443-849-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "CLARENCE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MD",
"license": "D70162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.