| Kristan Lam, | |
|
2525 Chicago Ave, Minneapolis, MN 55404-4518 | |
| (612) 813-6000 | |
| Not Available |
| Full Name | Kristan Lam |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 2525 Chicago Ave, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386028181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 078062 (Iowa) | Secondary |
| 231H00000X | Audiologist | 078000 (Iowa) | Secondary |
| 231H00000X | Audiologist | 9650 (Minnesota) | Primary |
| Provider Name | Fairview Health Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Provider Name | Fairview Clinics |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Provider Name | Healtheast Medical Research Institute |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Provider Name | Children's Health Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristan Lam, 17590 Hemlock Ave, Lakeville, MN 55044-3904 Ph: () - | Kristan Lam, 2525 Chicago Ave, Minneapolis, MN 55404-4518 Ph: (612) 813-6000 |
Dr. Ann Westerback, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2211 Park Ave, Minneapolis, MN 55404 Phone: 612-871-1144 | |
Ronni Michele Molinaro, MA CCCA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2211 Park Ave So, Minneapolis, MN 55404 Phone: 612-871-1144 Fax: 612-871-2012 | |
Mr. Aaron Penn, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 651-467-4084 | |
Yingjiu Nie, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 701 25th Ave S, Suite 200, Minneapolis, MN 55454 Phone: 612-339-2836 Fax: 612-339-9741 | |
Annette E Hurley, PHD Audiologist Medicare: Medicare Enrolled Practice Location: 1800 2nd St Ne, Minneapolis, MN 55418 Phone: 612-789-1236 Fax: 612-706-5555 | |
Dr. Thomas J Tedeschi, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 150 S 5th St Ste 2300, Minneapolis, MN 55402 Phone: 763-268-4051 | |
Julie Ann Klosterman, MS CCCA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2211 Park Ave So, Minneapolis, MN 55404 Phone: 612-871-1144 Fax: 612-871-2012 |