Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lamar Octavius Mack, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093970535

Lamar Octavius Mack, MD is a Vascular Surgery in Visalia, California. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2006, 20 years ago. Practices with Kaweah Delta Health Care District, a 110-clinician group and accepts Medicare assignment. Licensed in California and Tennessee.

Years since qualifying
20
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
CA, TN
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 S Akers St Ste 120
Visalia, CA 93277-8306
Phone: (559) 625-4118
Fax: (559) 625-6004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence A123815 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (TN)

Record details

NPI number1093970535
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 24, 2008
Last updated in NPPESFebruary 11, 2021
Certification dateFebruary 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Kaweah Delta Health Care District — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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