Provider Demographics
NPI:1174783534
Name:LAM, CLARENCE K (MD)
Entity type:Individual
Prefix:DR
First Name:CLARENCE
Middle Name:K
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:615 N. WOLFE ST.
Mailing Address - Street 2:SUITE WB602
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205
Mailing Address - Country:US
Mailing Address - Phone:443-849-2682
Mailing Address - Fax:443-849-8030
Practice Address - Street 1:1800 ORLEANS ST.
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:443-849-2682
Practice Address - Fax:443-849-8030
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2016-10-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD701622083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine