Active NPI
Lai See Lam, MD
- Pediatrics Physician
- Moline, IL
National Provider Identifier
1386931814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036-135027
- Practice address
- 1106 4TH Ave
Community Health Care
Moline, IL 61265-1231 - Phone
- (563) 336-3000
- Fax
- (563) 327-2045
- NPI assigned
- Jul 5, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-135027 | IL | Primary |
Addresses
Primary practice location
1106 4TH Ave
Community Health Care
Moline, IL 61265-1231
Mailing address
500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | IL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-135027 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1386931814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W RIVER DR",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528011014",
"telephone_number": "563-336-3000",
"fax_number": "563-327-2045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 4TH AVE",
"address_2": "COMMUNITY HEALTH CARE",
"city": "MOLINE",
"state": "IL",
"postal_code": "612651231",
"telephone_number": "563-336-3000",
"fax_number": "563-327-2045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "LAI SEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-135027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.