Individual
DR. DOMINIC WANCHEUNG LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 RESERVOIR RD NW, 5 PHC, WASHINGTON, DC 20007-2113
(626) 348-1181
Mailing address
24 COURTHOUSE SQ APT 712, ROCKVILLE, MD 20850-2343
(626) 348-1181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A99008
CA
207R00000X
Internal Medicine Physician
Primary
MD042661
DC
207RH0003X
Hematology & Oncology Physician
A99008
CA
Other
Enumeration date
07/24/2007
Last updated
01/05/2015
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