WAILONG DON LAM (NPI# 1538133087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538133087 |
| Entity Type | Individual |
| Full Name | WAILONG DON LAM |
| Credential | PNP |
| Practice Address |
1318 Broadway St Lubbock TX 79401-3206 |
| Mailing Address |
1313 Broadway St Suite 5 Lubbock TX 79401-3277 |
| Practice Telephone | 8067652611 |
| Mailing Telephone | 8067652611 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
101678 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1318 BROADWAY ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79401-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841496791 | D Ray Gifford | Dentist | 1318 Broadway St, Lubbock, TX 79401-3206 | 2007-06-26 |
| 1851314587 | Susan Jane Edwards | Nurse Practitioner | 1318 Broadway St, Lubbock, TX 79401-3206 | 2006-07-25 |
| 1336162049 | Janne Marjorie Lynch | Dentist | 1318 Broadway St, Lubbock, TX 79401-3206 | 2006-07-25 |
| 1487604674 | Clint Edwin Chambers | Surgery | 1318 Broadway St, Lubbock, TX 79401-3206 | 2006-05-11 |
| 1154370211 | Terry Wayne Nelson | Optometrist | 1318 Broadway St, Lubbock, TX 79401-3206 | 2006-05-08 |
| 1821057969 | Norma Jean Pope | Urology | 1318 Broadway St, Lubbock, TX 79401-3206 | 2006-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740688837 | Cody Painter | Student in an Organized Health Care Education/Training Program | 43021 6th and Boston, Lubbock, TX 79401 | 2014-12-05 |
| 1730412511 | Chiara Eberhardt | Counselor | 1614 Ave K, Lubbock, TX 79401 | 2009-09-11 |
| 1528265535 | City of Lubbock | Clinic/Center | 80618th Street, Lubbock, TX 79401 | 2007-07-02 |
| 1184784084 | Cc Home Health of Lubbock LLC | Technician | 2118 Broadway Ave, Lubbock, TX 79401 | 2006-12-11 |
| 1003997768 | Charles Hudson | Family Medicine | Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 | 2006-10-18 |
| 1003904376 | Thi of Texas At Lubbock II, LLC | Skilled Nursing Facility | 1401 9th Street, Lubbock, TX 79401 | 2006-10-11 |
| 1174514681 | United Supermarkets LLC | Pharmacy | 1610 5th St, Lubbock, TX 79401 | 2005-11-03 |
| 1669470332 | Jose A Suarez | Internal Medicine | 1655 Main St Ste 201, Lubbock, TX 79401 | 2005-07-07 |
| 1225696362 | Heather Leigh Robertson | Dietitian, Registered | 1628 19th St, Lubbock, TX 79401 | 2019-06-04 |
| 1912411091 | Josi Gwin | Speech-Language Pathologist | 1628 19th St, Lubbock, TX 79401 | 2017-11-28 |
| Find all providers in zip 79401 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558720045 | Dawn Conwright | Nurse Practitioner | 6809 Slide Rd Ste J, Lubbock, TX 79424-1517 | 2016-02-12 |
| 1851935365 | Jasmine Sanchez-ximenez | Nurse Practitioner | 4102 24th St Ste 507, Lubbock, TX 79410-1805 | 2019-10-29 |
| 1386108033 | Sara Victoria Chapa | Nurse Practitioner | 416 Frankford Ave, Lubbock, TX 79416-4162 | 2019-01-28 |
| 1902318736 | Olivia A Harris | Nurse Practitioner | 4102 24th St, Lubbock, TX 79410 | 2017-11-02 |
| 1366953374 | Justin Mark Hafner | Nurse Practitioner | 7501 Quaker Ave, Lubbock, TX 79424-3367 | 2017-10-17 |
| 1134671159 | Zakri Redding | Nurse Practitioner | 5022 Avenue Q, Lubbock, TX 79412 | 2016-10-25 |
| 1730540097 | Ashley Dometrius | Nurse Practitioner | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2016-03-15 |
| 1336511732 | Meghan Gwyneth Oldham | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415 | 2015-10-24 |
| 1912378118 | Clayton Womack | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2015-10-13 |
| 1699146381 | Raela Stander | Nurse Practitioner | 4102 24th St Ste 504, Lubbock, TX 79410 | 2015-10-07 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.