Provider Demographics
NPI:1508652223
Name:KHAI LAM DC PLLC
Entity type:Organization
Organization Name:KHAI LAM DC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:KHAI
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:765-543-9850
Mailing Address - Street 1:6307 RICH RD SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-5317
Mailing Address - Country:US
Mailing Address - Phone:360-915-9629
Mailing Address - Fax:360-915-9666
Practice Address - Street 1:6307 RICH RD SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-5317
Practice Address - Country:US
Practice Address - Phone:360-915-9629
Practice Address - Fax:360-915-9666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty