Provider Demographics
NPI:1124290713
Name:LAM, TUAN T (MD)
Entity type:Individual
Prefix:
First Name:TUAN
Middle Name:T
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:10152 COWAN HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-1597
Mailing Address - Country:US
Mailing Address - Phone:714-824-9662
Mailing Address - Fax:
Practice Address - Street 1:18035 BROOKHURST ST STE 1300
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6738
Practice Address - Country:US
Practice Address - Phone:657-241-9440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101102688208G00000X
CAA69720208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)