Provider Demographics
NPI:1184905325
Name:LAM, CHARLES CHEE-KAN (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:CHEE-KAN
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 1:310 PLACER DR
Mailing Address - Street 2:
Mailing Address - City:PARACHUTE
Mailing Address - State:CO
Mailing Address - Zip Code:81635-8911
Mailing Address - Country:US
Mailing Address - Phone:970-852-1554
Mailing Address - Fax:
Practice Address - Street 1:310 PLACER DR
Practice Address - Street 2:
Practice Address - City:PARACHUTE
Practice Address - State:CO
Practice Address - Zip Code:81635-8911
Practice Address - Country:US
Practice Address - Phone:970-852-1554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD18830207R00000X
CO054739207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine