Individual
BRIAN LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1211 UNION AVE, SUITE 300, MEMPHIS, TN 38104-6638
(901) 609-3520
(901) 266-6451
Mailing address
PO BOX 1000, DEPT # 457, MEMPHIS, TN 38148-0001
(901) 486-8811
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1958
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05932552
—
MS
05
—
1525080
—
TN
01
—
6016537
BCBS
TN
Enumeration date
03/31/2011
Last updated
07/10/2015
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