ETHAN LAM

COLUMBIA, SC
NPI1295599801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-02-13
Last Update Date2025-12-15
Business Address
ETHAN LAM
114 GATEWAY CORPORATE BLVD STE 210
COLUMBIA, SC 29203-9785
Phone number: 803-365-8640
Mailing Address
ETHAN LAM
5 MOUNTAIN ROSE CT
SIMPSONVILLE, SC 29681-4869
Phone number:
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