Individual
MILAY LUIS LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 108, HAGERSTOWN, MD 21742-6734
(301) 714-4041
(301) 714-4351
Mailing address
11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 21742-6710
(301) 714-4041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD466244
PA
207R00000X
Internal Medicine Physician
281525
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
281525
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D90409
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
308544
NBHN
NY
01
—
698866
MMIS
NY
Enumeration date
01/23/2013
Last updated
11/04/2020
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