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Individual

LAI JIANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1721 W MAIN ST, SUN PRAIRIE, WI 53590-3161
(608) 837-7325
Mailing address
4847 E ROUTE 36, DECATUR, IL 62521-9736
(217) 425-3219
(217) 425-3220

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3913-35
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790479996
WI
Enumeration date
06/08/2023
Last updated
02/25/2026
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