Individual
ANDREW NGUYEN LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
851 PARK DR STE 101, LAKE GENEVA, WI 53147-4586
(262) 248-4991
Mailing address
9501 OZANAM AVE, MORTON GROVE, IL 60053-1060
(847) 834-5360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
600229015
WI
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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