Provider Demographics
NPI:1750728028
Name:CHRISTOPHER N LAM, DO, PLLC
Entity type:Organization
Organization Name:CHRISTOPHER N LAM, DO, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:808-735-9093
Mailing Address - Street 1:4354 PAHOA AVE
Mailing Address - Street 2:#10803
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-8400
Mailing Address - Country:US
Mailing Address - Phone:808-735-9093
Mailing Address - Fax:
Practice Address - Street 1:4354 PAHOA AVE
Practice Address - Street 2:#10803
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-8400
Practice Address - Country:US
Practice Address - Phone:808-735-9093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS-1475207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIDOS-1475OtherMEDICAL LICENSE