Provider Demographics
NPI:1447345418
Name:LAM, LIEN BICH (DO)
Entity type:Individual
Prefix:DR
First Name:LIEN
Middle Name:BICH
Last Name:LAM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:440 HWY 78
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LAVON
Mailing Address - State:TX
Mailing Address - Zip Code:75166
Mailing Address - Country:US
Mailing Address - Phone:972-853-0444
Mailing Address - Fax:972-853-0424
Practice Address - Street 1:440 HWY 78
Practice Address - Street 2:SUITE 220
Practice Address - City:LAVON
Practice Address - State:TX
Practice Address - Zip Code:75166
Practice Address - Country:US
Practice Address - Phone:972-853-0444
Practice Address - Fax:972-853-0424
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB08278300207Q00000X
TXM4263207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I74322Medicare UPIN