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General NPI Number Information
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NPI Number | 1992994636
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Entity Type | Organization
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Legal Business Name | LILIAN LAI MD PC
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 15850 E WARREN AVE
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City | DETROIT
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State | MI
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Zip | 48224
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Country | US
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Telephone | 313-417-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 15850 E WARREN AVE
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City | DETROIT
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State | MI
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Zip | 48224
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Country | US
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Telephone | 313-417-0002
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. JOHN TROTTER
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Credential | MD
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Telephone | 313-417-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | MI
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