Individual
ANSELM O LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 STOCKTON ST, SAN FRANCISCO, CA 94133-3354
(415) 391-9686
(414) 355-8644
Mailing address
1520 STOCKTON ST, SAN FRANCISCO, CA 94133-3354
(415) 391-9686
(414) 355-8644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19516
WI
207Q00000X
Family Medicine Physician
Primary
31127
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30876800
—
WI
Enumeration date
10/05/2006
Last updated
02/28/2017
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