Provider Demographics
NPI:1922592245
Name:LAM, ANDREW Z (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:Z
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 1:8905 FARGO RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4554
Mailing Address - Country:US
Mailing Address - Phone:804-615-5060
Mailing Address - Fax:
Practice Address - Street 1:8905 FARGO RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4554
Practice Address - Country:US
Practice Address - Phone:804-615-5060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116031290207Q00000X
VA0101267888207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine