Individual
DIANA LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2800 EISENHOWER AVE STE 200, ALEXANDRIA, VA 22314-5210
(703) 562-9220
(703) 520-7745
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, STE 501, HUNT VALLEY, MD 21031
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006216
VA
Other
Enumeration date
07/26/2018
Last updated
11/04/2024
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