MEDICARE: DR. NOK HANG LAI DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E6019	CA

General Provider Information

NPI Number	:	1376124610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NOK HANG LAI DPM

Provider Business Mailing Address
First Line	:	28078 BAXTER RD STE 530
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-1405
Country	:	US
Telephone Number	:	833-863-3627
Fax Number	:

Provider Business Practice Location Address
First Line	:	28078 BAXTER RD STE 530
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-1405
Country	:	US
Telephone Number	:	833-863-3627
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	03/19/2026

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