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Organization
MICHAEL C. LAM M.D. INC
Active
Organization
MICHAEL C. LAM M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C. LAM M.D. (PRESIDENT)
(951) 471-0200
Entity
Organization
Contact information
Practice address
31571 CANYON ESTATES DR, #228, LAKE ELSINORE, CA 92532-0468
(951) 471-0200
Mailing address
1 LEAGUE # 61284, IRVINE, CA 92602-7204
(951) 471-0200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A62691
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A62691
MEDICAL LICENSE
CA
Enumeration date
05/16/2014
Last updated
05/16/2014
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