| NPI | 1568796803 |
|---|---|
| Former Name | LISA SANGLY LAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA20106) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 953543658) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2021-12-21 |