Individual
MS. JENNIFER CHIA FANG LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4951 ARROYO RD, BLDG 62, RM 458, LIVERMORE, CA 94550-9650
(925) 373-5579
(925) 449-6477
Mailing address
4951 ARROYO RD, BLDG 62, RM 458, LIVERMORE, CA 94550-9650
(925) 373-5579
(925) 449-6477
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A105715
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2008
Last updated
10/06/2011
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