Individual
MEI CHIEW LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
293 CHAMBERS ST, CRESTLINE, OH 44827-1028
(419) 683-3073
(419) 683-3169
Mailing address
293 CHAMBERS ST, P.O. BOX407, CRESTLINE, OH 44827-1028
(419) 683-3073
(419) 683-3169
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
35051898L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000154686
ANTHEM
OH
05
—
0593513
—
OH
Enumeration date
07/29/2005
Last updated
10/26/2010
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