Jesse Austin Lam, OD

NPI #1043835069 in Surprise, Arizona

Provider Information

NPI Number: 1043835069
Entity Type: Individual
Name: Jesse Austin Lam, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 15, 2020
Last Updated: Jun 15, 2020

Practice Location

Address: 13371 W GRAND AVE STE 102
City: Surprise
State: Arizona
ZIP Code: 85374-7063
Phone: (623) 556-8083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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