Most Relevant Information
Provider Data
| NPI Number: | 1003647322 |
| Provider Name: | KEONA LAM |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 8769 |
Most Important Dates
| Enumeration Date: | 08/08/2024 |
| Last Updated: | 08/08/2024 |
Provider Practice Location
1752 E BULLARD AVE STE 101
FRESNO
CA
937105864
Practice Location Phone/Fax
| Phone: | 5599708277 |
| Fax: |
Provider Mailing Location
1752 E BULLARD AVE STE 101
FRESNO
CA
937105864
Provider Mailing Phone/Fax
| Phone: | 5599708277 |
| Fax: |