Individual
STEPHEN LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1044 AVALON PKWY, MCDONOUGH, GA 30253-7661
(770) 898-7078
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003522
GA
Other
Enumeration date
06/16/2023
Last updated
08/10/2023
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