Individual
GEORGE LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-5588
(928) 639-5589
Mailing address
PO BOX 708850, SANDY, UT 84070-8850
(866) 869-2395
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30310
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690215
—
AZ
01
—
AZ0713770
BC/BS OF AZ
AZ
Enumeration date
03/23/2006
Last updated
10/24/2007
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