Individual
DR. DERRICK LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664
(360) 882-2778
(360) 604-1767
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP60153066
WA
208M00000X
Hospitalist Physician
OP60153066
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0263309
WA L & I
WA
Enumeration date
06/26/2007
Last updated
08/02/2018
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