Provider Demographics
NPI:1407067549
Name:LAM, LOUIS WAI-KEI (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:WAI-KEI
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19153-2326
Mailing Address - Country:US
Mailing Address - Phone:215-492-1173
Mailing Address - Fax:215-492-1493
Practice Address - Street 1:2801 ISLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19153-2326
Practice Address - Country:US
Practice Address - Phone:215-492-1173
Practice Address - Fax:215-492-1493
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044488L2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine