Provider Demographics
NPI:1477713147
Name:LAM, KAM W (DC)
Entity Type:Individual
Prefix:DR
First Name:KAM
Middle Name:W
Last Name:LAM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9939 E GARVEY AVE
Mailing Address - Street 2:#B
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-4712
Mailing Address - Country:US
Mailing Address - Phone:626-442-8012
Mailing Address - Fax:
Practice Address - Street 1:9939 E GARVEY AVE
Practice Address - Street 2:#B
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-4712
Practice Address - Country:US
Practice Address - Phone:626-442-8012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30493111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor