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Individual
KRISTEN NOEL LAI
Active
Individual
KRISTEN NOEL LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.004064
OH
363A00000X
Physician Assistant
Primary
PA9109983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111689
—
OH
01
—
H401320
MEDICARE PTAN
OH
Enumeration date
09/22/2014
Last updated
01/16/2017
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