Individual
DR. DANIEL LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 N WICKHAM RD STE 309, MELBOURNE, FL 32935-8661
(321) 752-1630
(321) 690-6578
Mailing address
240 N WICKHAM RD STE 309, MELBOURNE, FL 32935-8661
(321) 752-1630
(321) 690-6578
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
MT192814
PA
2084N0400X
Neurology Physician
35123456
OH
2084N0400X
Neurology Physician
Primary
ME129764
FL
2084N0600X
Clinical Neurophysiology Physician
35123456
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105338
—
OH
05
—
019512200
—
FL
01
—
H333510
MEDICARE PTAN
OH
Enumeration date
05/13/2009
Last updated
04/01/2025
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