Individual
PHU DUC LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-5437
Mailing address
227 BLOOMING LEAF WAY, VERONA, WI 53593-5130
(815) 319-2779
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
154-18
WI
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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