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NPI Code Detail

MEDICARE: DR. VIVIAN LAM PHARMD

MEDICARE:  DR. VIVIAN  LAM  PHARMD
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
1183500000XPharmacistI068765NY

General Provider Information

NPI Number : 1598410557
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIVIAN LAM PHARMD
Provider Business Mailing Address
First Line : 1781 W 3RD ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-1521
Country : US
Telephone Number : 347-729-9135
Fax Number :
Provider Business Practice Location Address
First Line : 92 E 167TH ST
Second Line :
City : BRONX
State : NY
Zip : 10452-8203
Country : US
Telephone Number : 718-410-2814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2022
Last Update Date : 02/18/2022

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Directions to “ DR. VIVIAN LAM PHARMD” Practice Location

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