Doctor Name: | ALAN STEPHEN LAM |
NPI Number: | 1548248628 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101237179 |
Business Practice Address: | 19871 Bauer Rd Branch Medical Clinic, Marine Corps Air Station Miramar San Diego, CA - 921452002 |
Business Phone Number: | 8585779900 |
Business Fax Number: | |
Mailing Address: | 7821 Linda Vista Rd, Apt 36 SAN DIEGO |
State: | CA |
Postal Code: | 921115116 |
Phone Number: | 8585779900 |
Fax Number: | 8585777985 |
NPI Enumeration Date: | 01/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101237179 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |