Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 287350 | NY |
N | 207YS0123X | Facial Plastic Surgeon | 287350 | NY |
N | 207YS0123X | Facial Plastic Surgeon | A140095 | CA |
NPI | 1285923110 |
---|---|
Provider Name | Dr. Herman Preston Lam |
First Address | New York, NY 10013-4562 |
Second Address | New York, NY 10013-4562 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2011 |
Last Update Date | 05/02/2019 |