Provider Demographics
NPI:1467563080
Name:LAM, BRIAN PAKYAN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:PAKYAN
Last Name:LAM
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3300 GALLOWS RD
Mailing Address - Street 2:CLAUDE MOORE 3RD FLOOR
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3307
Mailing Address - Country:US
Mailing Address - Phone:301-442-1060
Mailing Address - Fax:703-776-4388
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:CLAUDE MOORE 3RD FLOOR
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:301-442-1060
Practice Address - Fax:703-776-4388
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-04-05
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Provider Licenses
StateLicense IDTaxonomies
MDC0002823363AM0700X
VA0110001800363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical