Individual
CHARLENE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6820
(717) 531-4702
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
123895
OH
207N00000X
Dermatology Physician
Primary
MD455630
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030588200001
—
PA
Enumeration date
06/10/2010
Last updated
05/12/2017
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