Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD60161574 | WA |
N | 111NI0900X | Internist | MD60161574 | WA |
N | 207RH0002X | Hospice and Palliative Medicine | MD60161574 | WA |
Y | 207RN0300X | Nephrologist | MD60161574 | WA |
NPI | 1326248386 |
---|---|
Provider Name | Daniel Lam |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98104-2420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 01/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1326248386 | (05) | WA |