Individual
JEREMY LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036165596
IL
208800000X
Urology Physician
125069916
IL
Other
Enumeration date
01/16/2015
Last updated
12/15/2023
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