Provider Demographics
NPI:1780707539
Name:LAM, ANDY JIN-HONG (DC O MD)
Entity type:Individual
Prefix:DR
First Name:ANDY
Middle Name:JIN-HONG
Last Name:LAM
Suffix:
Gender:M
Credentials:DC O MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7955 W. SAHARA AVE
Mailing Address - Street 2:#101
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117
Mailing Address - Country:US
Mailing Address - Phone:702-405-6105
Mailing Address - Fax:702-405-7035
Practice Address - Street 1:7955 W. SAHARA AVE
Practice Address - Street 2:#101
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117
Practice Address - Country:US
Practice Address - Phone:702-405-6105
Practice Address - Fax:702-405-7035
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-29761111N00000X
CAAC-10809171100000X
NV1027171100000X
NVB01187111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist