Individual
OI LAM LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4154 NOBLEMAN PT, DULUTH, GA 30097-2359
(212) 203-5046
Mailing address
4154 NOBLEMAN PT, DULUTH, GA 30097-2359
(212) 203-5046
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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