Individual
MR. JESSE TZU TAN LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4-1461 KUHIO HWY., KAPAA, HI 96746
(808) 220-7062
Mailing address
4-1461 KUHIO HWY., KAPAA, HI 96746
(808) 220-7062
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15518
HI
Other
Enumeration date
07/19/2007
Last updated
08/04/2010
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