Individual
DR. BAO LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13847 E 14TH ST, SUITE #217, SAN LEANDRO, CA 94578-2632
(510) 483-2555
(510) 483-1856
Mailing address
4721 DALLAS RANCH ROAD, ANTIOCH, CA 94531-8811
(925) 778-0679
(925) 778-3568
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A116762
CA
Other
Enumeration date
01/07/2008
Last updated
11/03/2011
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