=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528385598
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HORNG-CHYI RICHARD LAI MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/29/2010
-----------------------------------------------------
Last Update Date | 03/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 469 HIGHWAY 50
-----------------------------------------------------
City | GILLETTE
-----------------------------------------------------
State | WY
-----------------------------------------------------
Zip | 82718-9330
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 307-387-9850
-----------------------------------------------------
Fax | 307-387-9890
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 201 W LAKEWAY RD STE 1004
-----------------------------------------------------
City | GILLETTE
-----------------------------------------------------
State | WY
-----------------------------------------------------
Zip | 82718-6349
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 307-387-9850
-----------------------------------------------------
Fax | 307-387-9890
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208M00000X
-----------------------------------------------------
Taxonomy Name | Hospitalist Physician
-----------------------------------------------------
License Number | MED-PHYS-LIC41445
-----------------------------------------------------
License Number State | MT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number | 17828C
-----------------------------------------------------
License Number State | WY
-----------------------------------------------------