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General NPI Number Information
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NPI Number | 1831560374
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Entity Type | Organization
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Legal Business Name | CARLOS B.C. LAM, M.D.
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 10/09/2015
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Provider Practice Location Address
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Address Line | 1481 S KING ST
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City | HONOLULU
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State | HI
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Zip | 96814-2601
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Country | US
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Telephone | 808-946-0225
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Fax | 808-951-7222
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Provider Business Mailing Address
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Address Line | 1481 S KING ST
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City | HONOLULU
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State | HI
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Zip | 96814-2601
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Country | US
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Telephone | 808-946-0225
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Fax | 808-951-7222
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Authorized Official
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Title or Position | MANAGER, PHYSICIAN
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Name | DR. LAURIE B. LEE
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Credential | M.D.
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Telephone | 808-455-9095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD 4664
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License Number State | HI
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