Individual
MICHELLE LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1500 SW 59TH ST # AT, OKLAHOMA CITY, OK 73119-7214
(405) 684-9764
Mailing address
5521 LEDGESTONE DR, MUSTANG, OK 73064-7271
(405) 875-4374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18856
OK
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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