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Individual

JEFFREY T. LAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655
(508) 421-1400
(508) 421-1490
Mailing address
PO BOX 4151348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
265772
MA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
265772
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110113406A
MA
Enumeration date
06/05/2013
Last updated
11/23/2020
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