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Individual

KEN HONG LAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-8383
(248) 849-2265
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-8383
(248) 849-2265

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704336391
MI
363LF0000X
Family Nurse Practitioner
Primary
4704336391
MI

Other

Enumeration date
10/27/2020
Last updated
08/19/2024
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