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NPI Code Detail

MEDICARE: LESLEY LAI

MEDICARE: LESLEY LAI
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
1225X00000XOccupational Therapist19031CA

General Provider Information

NPI Number : 1528549318
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLEY LAI
Provider Business Mailing Address
First Line : 13247 FOOTHILL BLVD APT 11204
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91739-9478
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10780 SANTA MONICA BLVD STE 405
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-7655
Country : US
Telephone Number : 310-234-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 08/28/2018

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Directions to “ LESLEY LAI ” Practice Location

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