Individual
DEL LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
29 THE SHOPS AT MISSION VIEJO, MISSION VIEJO, CA 92691-6530
(949) 364-2256
Mailing address
1059 N ANTONIO CIR, ORANGE, CA 92869-1966
(714) 307-2515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15140
CA
152WC0802X
Corneal and Contact Management Optometrist
15140
CA
152WL0500X
Low Vision Rehabilitation Optometrist
15140
CA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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