Individual
MIMI LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
10417 METROPOLITAN AVE STE B, KENSINGTON, MD 20895-2649
(410) 440-2424
Mailing address
10417 METROPOLITAN AVE STE B, KENSINGTON, MD 20895-2649
(410) 440-2424
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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