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Individual

TY DUC LAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6483
Mailing address
110 S PACA ST, DEPARTMENT OF NEUROLOGY, BALTIMORE, MD 21201

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D78972
MD

Other

Enumeration date
04/27/2011
Last updated
12/04/2020
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