Individual
DIANA SUK WAH LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
34 S BENNETT DR, JOHNSTON, RI 02919-6323
(631) 708-9750
Mailing address
34 S BENNETT DR, JOHNSTON, RI 02919-6323
(631) 708-9750
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
308381
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN01729
RI
Other
Enumeration date
09/20/2017
Last updated
03/17/2018
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