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Individual

MRS. ELLEN U LAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
415 RAY C HUNT DR STE 2100, CHARLOTTESVILLE, VA 22903-2980
(434) 924-1825
(434) 244-9456
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
0110008955
VA
363A00000X
Physician Assistant
Primary
0110008955
VA

Other

Enumeration date
04/24/2019
Last updated
08/10/2023
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