Individual
SIMON LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1009 N ORANGE AVE, AZUSA, CA 91702-1920
(626) 757-1920
Mailing address
1009 N ORANGE AVE, AZUSA, CA 91702-1920
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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