Wallace I Lai I MD

NPI 1578503249 - Internal Medicine - 207RC0001X

NPI Details
NPI 1578503249
Gender Male
Enumeration Date 06/08/2006
Last Updated 09/01/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2480 LIBERTY ST NE
SUITE 110
SALEM OR, 97301-8380, US
Phone (503) 371-1756
Fax (503) 584-7971
Business Location
2480 LIBERTY ST NE
SUITE 110
SALEM OR, 97301-8380, US
Phone (503) 371-1756
Fax (503) 587-7823
Toxanomy
Taxonomy Code 207RC0001X
License State Oregon
License Number MD17813
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According to our database, Dr. Wallace I Lai I MD NPI is 1578503249, taxonomy code is 207RC0001X and license number is MD17813, license state is located at Oregon. Wallace I Lai I MD physically located at 2480 Liberty St Ne, Salem OR, 97301-8380. NPI Number Wallace I Lai I MD has the Individual type.

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1578503249 NPI number is provided on an as is basis without warranty of any kind. 1578503249 is maintained by the National Plan & Provider Enumeration System. The contents of Wallace I Lai I MD are for informational purposes only.