| Doctor Name: | DR. TRAVIS LAM |
| NPI Number: | 1841313020 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 58.002277 |
| Business Practice Address: | 20401 N 73rd St Suite 230 Scottsdale, AZ - 852554107 |
| Business Phone Number: | 4805560446 |
| Business Fax Number: | 4805560447 |
| Mailing Address: | 20401 N 73rd St, Suite 230 SCOTTSDALE |
| State: | AZ |
| Postal Code: | 852554107 |
| Phone Number: | 4805560446 |
| Fax Number: | 4805560447 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 08/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 58.002277 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |