Individual
JERRY LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
047915
CT
174400000X
Specialist
254081-1
NY
207W00000X
Ophthalmology Physician
047915
CT
207W00000X
Ophthalmology Physician
254081
NY
207W00000X
Ophthalmology Physician
Primary
C134763
CA
Other
Enumeration date
04/19/2007
Last updated
05/07/2015
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