Individual
CARLY LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-5966
(215) 829-6596
Mailing address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 829-5966
(215) 829-6596
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT196186
PA
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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