Individual
STACY LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-6126
Mailing address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1497214720
CA
Other
Enumeration date
03/16/2019
Last updated
07/11/2023
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