Provider Demographics
NPI:1275960916
Name:LAM, MEE WAI (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MEE WAI
Middle Name:
Last Name:LAM
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1038 HEATHROW DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-1585
Mailing Address - Country:US
Mailing Address - Phone:458-215-1203
Mailing Address - Fax:541-505-8935
Practice Address - Street 1:1038 HEATHROW DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-1585
Practice Address - Country:US
Practice Address - Phone:458-215-1203
Practice Address - Fax:541-505-8935
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201392761NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500663754Medicaid
OR500663754Medicaid