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1205884442

NPI Code Detail

MEDICARE: SYLVIA LAM MD

MEDICARE: SYLVIA LAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036049454	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31604439	OTHER	IL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205884442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA LAM MD

Provider Business Mailing Address
First Line	:	2055 LINCOLN AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91103-1324
Country	:	US
Telephone Number	:	626-398-6300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 LINCOLN AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91103-1324
Country	:	US
Telephone Number	:	626-398-6300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/13/2022

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Directions to “ SYLVIA LAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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