Provider Demographics
NPI:1922134790
Name:LAM, VU (OD)
Entity Type:Individual
Prefix:DR
First Name:VU
Middle Name:
Last Name:LAM
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1632 LOMAR DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1475
Mailing Address - Country:US
Mailing Address - Phone:972-315-9306
Mailing Address - Fax:972-315-9306
Practice Address - Street 1:2600 VILLAGE PKWY
Practice Address - Street 2:UNIT 1A
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3093
Practice Address - Country:US
Practice Address - Phone:972-966-3937
Practice Address - Fax:972-966-3938
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6490T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist