Individual
MS. LISA SANGLY LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1011 BALDWIN PARK BLVD, URGENT CARE DEPARTMENT, URGENT CARE DEPARTMENT, BALDWIN PARK, CA 91706-5806
(626) 851-1011
Mailing address
1789 TYLER DR, MONTEREY PARK, CA 91755-4130
(626) 487-8080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
953543658
CA
363AM0700X
Medical Physician Assistant
Primary
PA20106
CA
Other
Enumeration date
09/18/2009
Last updated
12/21/2021
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