Individual
DR. PETER PINGKWONG LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 885-3939
(812) 885-3974
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8888
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
27699
WV
2085R0001X
Radiation Oncology Physician
Primary
4301077506
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320A111090
BCBS PROVIDER NUMBER
MI
Enumeration date
08/01/2006
Last updated
12/08/2022
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