Individual
DR. JASON TAI PANG LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 CALIFORNIA AVE, SUITE 103, WAHIAWA, HI 96786-1841
(808) 621-7733
(808) 621-7799
Mailing address
302 CALIFORNIA AVE, SUITE 103, WAHIAWA, HI 96786-1841
(808) 621-7733
(808) 621-7799
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD11212
HI
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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