Aetherus Wound and Lymphatics PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

AETHERUS WOUND AND LYMPHATICS PLLC

Practice address

15310 Amberly Dr Ste 195
Tampa, FL 33647-1646

Phone

(813) 212-6517

NPI assigned

May 22, 2026

Organization subpart

No

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

Authorized official

Name

Loan Lam, MDNPI 1386866077

Title

Owner

Phone

(813) 212-6517

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loan Kim Lam, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Tampa, FL
  • NPI 1386866077

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1770413445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15303 AMBERLY DR STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472308",
            "telephone_number": "813-212-6517",
            "fax_number": "813-212-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15310 AMBERLY DR STE 195",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471646",
            "telephone_number": "813-212-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETHERUS WOUND AND LYMPHATICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "LOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-212-6517",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gunjan Aeron, M.D.
• Jean H Aertker, DNP, ARNP
• Sheryl L Aescht, LCSW, CAP
• Aesthetic Dentistry of New Tampa
• Aesthetic Facial Plastic Surgery Associates
• Aetna Better Health of Florida Inc
• Aetna Better Health of Florida Inc
• Aetna Better Health of Florida Inc
• Affiliated Dental Specialist PL
• Affiliated Dental Specialist PL

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.