Individual
DR. MIKAELA KCOMT LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 FAIRFAX AVENUE, SUITE 563, NORFOLK, VA 23507
(757) 446-8920
Mailing address
825 FAIRFAX AVENUE, SUITE 563, NORFOLK, VA 23507
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
11/05/2024
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