Individual
DR. LYDIA JANE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
256 C MASON AVE, 3RD FLOOR, STATEN ISLAND, NY 10305
(718) 226-1251
(718) 226-1252
Mailing address
256-C MASON AVENUE, 3RD FLOOR, STATEN ISLAND, NY 10305
(718) 226-1251
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0552431
NY
Other
Enumeration date
02/07/2012
Last updated
06/26/2024
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