Organization
LAM OCULOFACIAL PLASTIC SURGERY PLLC
Active
Organization
LAM OCULOFACIAL PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT BASAN LAM M.D. (OWNER)
(267) 607-6888
Entity
Organization
Contact information
Practice address
1740 SOUTH ST, SUITE 400, PHILADELPHIA, PA 19146
(267) 607-6888
(267) 393-4310
Mailing address
1740 SOUTH ST, SUITE 400, PHILADELPHIA, PA 19146
(267) 607-6888
(267) 393-4310
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD440839
PA
Other
Enumeration date
12/31/2012
Last updated
10/12/2015
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