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

Tida Lam, DO

Individual provider Family Medicine Physician · NPI 1114331204

Tida Lam, DO is a Family Practice in Wake Forest, North Carolina. Qualified in 2014, 12 years ago. Practices with Avance Care PA, a 244-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
12
Licensed in
MA
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1964 S Main St
Wake Forest, NC 27587
Phone: (919) 554-0177
Fax: (919) 554-9277
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 135 Jackson St, Lowell, MA 01852-2103 — (978) 937-9700
  • 1964 S Main St, Wake Forest, NC 27587-9336 — (919) 554-0177

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 271164 (MA)

Record details

NPI number1114331204
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 17, 2014
Last updated in NPPESMay 7, 2019
Mailing address10900 World Trade Blvd, Raleigh, NC 27617-4202

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Avance Care Pa — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wake Forest