Lam, Mylan

Lam, Mylan is an individual health care provider with primary practice located at 1199 Pleasant Valley Way , West Orange NJ 07052-1424. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Lam, Mylan can be contacted via phone (973) 731-3600.

Contact Information

Primary practice address
1199 Pleasant Valley Way West Orange NJ 07052-1424
Phone: (973) 731-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA06982800 New Jersey
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 25MA06982800 New Jersey

Profile Details

NPI number 1114915469
LBN Legal business name Lam, Mylan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Mar 10th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114915469 NPPES
New Jersey MEDICAID 0051063

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