Individual
PETER Y.T. LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4368 SPYRES WAY, MODESTO, CA 95356-9259
(209) 578-6300
Mailing address
4368 SPYRES WAY, MODESTO, CA 95356-9259
(209) 578-6300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A41316
CA
207RC0000X
Cardiovascular Disease Physician
A41316
CA
207RI0011X
Interventional Cardiology Physician
Primary
A41316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A413160
—
CA
Enumeration date
05/10/2006
Last updated
06/20/2024
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