Provider Demographics
NPI:1861060352
Name:VO, TIMOTHY LAM (DPM)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:LAM
Last Name:VO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:110 NEW STINE RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-2605
Mailing Address - Country:US
Mailing Address - Phone:661-832-1667
Mailing Address - Fax:661-832-7145
Practice Address - Street 1:110 NEW STINE RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2605
Practice Address - Country:US
Practice Address - Phone:661-832-1667
Practice Address - Fax:661-832-7145
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-11
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE6007213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty