Individual
WAILONG DON LAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
1318 BROADWAY ST, LUBBOCK, TX 79401-3206
(806) 765-2611
Mailing address
1313 BROADWAY ST, SUITE 5, LUBBOCK, TX 79401-3277
(806) 765-2611
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
101678
TX
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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