Individual
MIKE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-9056
Mailing address
1010 N KANSAS ST, WICHITA, KS 67214-3124
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24897
CA
2085R0202X
Diagnostic Radiology Physician
94-11003
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
04/05/2021
Last updated
04/07/2026
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