Individual
KEANE LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
A90474
CA
207ZP0104X
Chemical Pathology Physician
A90474
CA
207ZP0104X
Chemical Pathology Physician
MD00043014
WA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MD00043014
WA
Other
Enumeration date
10/04/2006
Last updated
11/11/2020
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