Individual
MICHAEL LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1288 CAMINO DEL RIO N, SAN DIEGO, CA 92108-1511
(909) 569-2199
Mailing address
1288 CAMINO DEL RIO N, SAN DIEGO, CA 92108-1511
(909) 569-2199
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95015118
CA
Other
Enumeration date
12/11/2020
Last updated
11/04/2024
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