Individual
DR. YEN-TSUN LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4033 TALBOT RD S STE 570, RENTON, WA 98055
(425) 690-3489
(425) 690-9089
Mailing address
3600 LIND AVE SW, SUITE 100 CREDENTIALING, RENTON, WA 98057-4970
(425) 228-3440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00042518
WA
207R00000X
Internal Medicine Physician
MD00042518
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD00042518
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030627
—
WA
05
—
8365520
—
WA
01
—
G8978329
MEDICARE
WA
01
—
P00627784
MEDICARE RAILROAD
WA
Enumeration date
06/12/2006
Last updated
11/26/2018
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