Lac H Pham,M.D.P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME 34155 Issued in FL

Legal business name

LAC H PHAM,M.D.P.A.

Practice address

157 N Lakemont Ave
Winter Park, FL 32792-3214

Phone

(407) 644-6618

Fax

(407) 644-3755

NPI assigned

Jun 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lac H Pham, M.D.

Title

Director

Phone

(407) 644-6618

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1710148978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 N LAKEMONT AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923214",
            "telephone_number": "407-644-6618",
            "fax_number": "407-644-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N LAKEMONT AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923214",
            "telephone_number": "407-644-6618",
            "fax_number": "407-644-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAC H PHAM,M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LAC",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-644-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 34155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374598800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernestina Kyei-Donkor, ARNP
• L P Slack Medical LLC
• La Esperanza/Hope LLC
• Laboratory Corporation of America
• Labs on the Go
• Prashanta Laddu, MD
• Vatsal M Ladia, MD
• Kelly E Lafave, MD
• Mark A. Lagatta, M.D.
• Don Felix Lahens, MA

• Pediatrics Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.