Provider Demographics
NPI:1184227126
Name:LAM, LE LE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LE
Middle Name:LE
Last Name:LAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12200 CHATTANOOGA PLZ
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-4865
Mailing Address - Country:US
Mailing Address - Phone:804-744-8975
Mailing Address - Fax:804-744-8985
Practice Address - Street 1:12200 CHATTANOOGA PLZ
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4865
Practice Address - Country:US
Practice Address - Phone:804-744-8975
Practice Address - Fax:804-744-8985
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202204809183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist