Provider Demographics
NPI:1548497811
Name:LAM, VINCENT WAI-HUNG (MD)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:WAI-HUNG
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 1:95 KIRKHAM ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-3899
Mailing Address - Country:US
Mailing Address - Phone:415-476-1442
Mailing Address - Fax:415-502-2521
Practice Address - Street 1:95 KIRKHAM ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-3899
Practice Address - Country:US
Practice Address - Phone:415-476-1442
Practice Address - Fax:415-502-2521
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116021203390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program