Individual
DR. DERRICK ALEXANDER LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MAIN ST FL 3, DANBURY, CT 06810-7834
(203) 743-9760
(203) 743-3411
Mailing address
120 MAIN ST FL 3, DANBURY, CT 06810-7834
(203) 743-9760
(203) 743-3411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.160299
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036.160299
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2019
Last updated
06/28/2023
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