| Doctor Name: | VEN THI LAM |
| NPI Number: | 1003188285 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 2012001793 |
| Business Practice Address: | 2828 N National Ave Springfield, MO - 658034306 |
| Business Phone Number: | 4178374000 |
| Business Fax Number: | 4178754720 |
| Mailing Address: | 2828 N National Ave, SPRINGFIELD |
| State: | MO |
| Postal Code: | 658034306 |
| Phone Number: | 4178374000 |
| Fax Number: | 4178754720 |
| NPI Enumeration Date: | 02/02/2012 |
| NPI Last Update Date: | 02/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2012001793 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |