Provider Demographics
NPI:1104154418
Name:LAM, JULIANNA HOILING (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JULIANNA
Middle Name:HOILING
Last Name:LAM
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9236 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1040
Mailing Address - Country:US
Mailing Address - Phone:718-205-1012
Mailing Address - Fax:718-205-1976
Practice Address - Street 1:9236 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1040
Practice Address - Country:US
Practice Address - Phone:718-205-1012
Practice Address - Fax:718-205-1976
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053251-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist