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Organization

GARY T. LAI, M.D.

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Organization

GARY T. LAI, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY LAI M.D. (SOLE PROPRIETOR)
(909) 548-3888
Entity
Organization

Contact information

Practice address
14335 PIPELINE AVE, A-1, CHINO, CA 91710-5642
(909) 548-3888
Mailing address
PO BOX 2703, CHINO, CA 91708-2703

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A65030
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A650300
—
CA
Enumeration date
11/03/2006
Last updated
08/22/2020
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