Individual
KHOA D LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1345 UNITY PL, SUITE 210, LAFAYETTE, IN 47905-5762
(765) 446-5432
(765) 446-5431
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01044085A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200050500
—
IN
Enumeration date
03/16/2006
Last updated
03/23/2021
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