Individual
DR. JONATHAN PHILIP PHI HAI LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(386) 943-3160
(317) 705-5047
Mailing address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(386) 943-3160
(317) 705-5047
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A168373
CA
2085R0202X
Diagnostic Radiology Physician
Primary
ME129865
FL
Other
Enumeration date
04/25/2015
Last updated
07/21/2022
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