Healthcare Provider Details

I. General information

NPI: 1326050261
Provider Name (Legal Business Name): JOSEPHINE S LAI PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 STOCKTON BLVD
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

2033 OAKMONT DR
SAN BRUNO CA
94066-1725
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-3305
  • Fax:
Mailing address:
  • Phone: 916-734-3305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number58465
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: