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Individual

LO AN NHU LAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4924 CAMPBELL BLVD, SUITE 125, BALTIMORE, MD 21236-5908
(443) 461-1997
(443) 461-1998
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0062201
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20047178
AMERIHEALTH MERCY HEALTH
MD
05
406555700
MD
01
489PR160
MD MEDICARE
01
60050001
DC BLUE CROSS
MD
01
60059303
BLUE CROSS
MD
Enumeration date
06/05/2006
Last updated
02/17/2022
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