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General NPI Number Information
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NPI Number | 1891249272
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Entity Type | Organization
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Legal Business Name | LILIAN T LAI MD PLLC
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 4201 SAINT ANTOINE ST 2Z DRH UHC
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 313-745-8453
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Fax | 313-745-8162
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Provider Business Mailing Address
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Address Line | 4201 SAINT ANTOINE ST 2Z DRH UHC
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 313-745-8453
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Fax | 313-745-8162
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Authorized Official
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Title or Position | MD
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Name | LILIAN LAI
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Credential |
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Telephone | 313-745-8453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301407145
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License Number State | MI
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