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Individual

NANCY LAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 S SAN MATEO DR STE 201, SAN MATEO, CA 94401-3843
(650) 343-1655
Mailing address
101 S SAN MATEO DR STE 201, SAN MATEO, CA 94401-3843
(650) 343-1655

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A79085
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1932326188
NPI
01
A79085
LICENSE
CA
Enumeration date
04/19/2007
Last updated
08/12/2011
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