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NPI Code Detail

MEDICARE: MICHELLE LAI

MEDICARE:   MICHELLE  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
1235Z00000XSpeech-Language PathologistSP-2073NV
2235Z00000XSpeech-Language Pathologist108103TX
3235Z00000XSpeech-Language Pathologist109789TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1109789OTHERTXTEXAS DEPARTMENT OF LICENSING AND REGISTRATION
214061151OTHERAMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION (ASHA)

General Provider Information

NPI Number : 1801228416
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LAI
Provider Business Mailing Address
First Line : 1771 INTERNATIONAL PKWY STE 107
Second Line :
City : RICHARDSON
State : TX
Zip : 75081-1865
Country : US
Telephone Number : 972-521-6273
Fax Number : 972-338-9378
Provider Business Practice Location Address
First Line : 1771 INTERNATIONAL PKWY STE 107
Second Line :
City : RICHARDSON
State : TX
Zip : 75081-1865
Country : US
Telephone Number : 972-521-6273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2013
Last Update Date : 02/01/2022

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Directions to “ MICHELLE LAI ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.