Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 34414 | OK |
NPI | 1225442130 |
---|---|
Provider Name | Weyman Lam |
First Address | Tulsa, OK 74136-3331 |
Second Address | Tulsa, OK 74136-1930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2014 |
Last Update Date | 13/04/2020 |