Healthcare Provider Details

I. General information

NPI: 1740975648
Provider Name (Legal Business Name): LYNA CHEN LAM DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 EAST BROAD ST CHILDREN'S PAVILLION 6TH FLOOR
RICHMOND VA
23219
US

IV. Provider business mailing address

VCUHS GME ADMINISTRATION BOX 980257
RICHMOND VA
23298-0257
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-2467
  • Fax: 804-441-7130
Mailing address:
  • Phone: 804-828-9783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number0116037711
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: