ETHAN LAM NPI 1295599801

NPI Information

  • NPI: 1295599801
  • Provider Name: ETHAN LAM
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 5 MOUNTAIN ROSE CT
    SIMPSONVILLE, SC
    ZIP 29681
  • Phone: (863) 315-8021

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NPI Details

Ethan Lam is a student in an organized health care education training program in Simpsonville, SC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ethan Lam NPI is 1295599801. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5 MOUNTAIN ROSE CT
SIMPSONVILLE, SC
ZIP 29681-869
Phone: (863) 315-8021

The enumeration date for this NPI number is 2/13/2024 and was last updated on 2/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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