Individual
SEAN LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1545 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6465
(817) 442-9300
Mailing address
4108 SURFSIDE CT, ARLINGTON, TX 76016-4163
(682) 521-5941
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
U1703
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
08/18/2023
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