Provider Demographics
NPI:1821539958
Name:LAM, ELSA PING CHING (RPH)
Entity Type:Individual
Prefix:
First Name:ELSA
Middle Name:PING CHING
Last Name:LAM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46950 COMMUNITY PLZ
Mailing Address - Street 2:SUITE 112
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-1814
Mailing Address - Country:US
Mailing Address - Phone:703-430-8883
Mailing Address - Fax:703-430-8882
Practice Address - Street 1:46950 COMMUNITY PLZ
Practice Address - Street 2:SUITE 112
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-1814
Practice Address - Country:US
Practice Address - Phone:703-430-8883
Practice Address - Fax:703-430-8882
Is Sole Proprietor?:No
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010260183500000X, 1835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No183500000XPharmacy Service ProvidersPharmacist