Ethan Lam, is a
Student In An Organized Health Care Education/training Program based in Simpsonville, South Carolina. Ethan Lam is licensed to practice in * (Not Available) (license number ) and his current practice location is
5 Mountain Rose Ct, Simpsonville, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(863) 315-8021.
NPI number for Ethan Lam is 1295599801 and his current mailing address is 5 Mountain Rose Ct, Simpsonville, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295599801.
Provider's Profile
| Full Name | Ethan Lam |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 5 Mountain Rose Ct, Simpsonville, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295599801
- Provider Enumeration Date: 02/13/2024
- Last Update Date: 02/13/2024
Medical Identifiers
Medical identifiers for Ethan Lam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295599801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Lam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ethan Lam,
5 Mountain Rose Ct,
Simpsonville, SC 29681-4869
Ph: () - | Ethan Lam,
5 Mountain Rose Ct,
Simpsonville, SC 29681-4869
Ph: (863) 315-8021 |
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