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NPI Code Detail

MEDICARE: DR. ALICIA LAI DPM

MEDICARE: DR. ALICIA LAI DPM
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
1213EP1101XPrimary Podiatric Medicine PodiatristSC006401PA
2213ES0103XFoot & Ankle Surgery PodiatristSC006401PA
3213EP1101XPrimary Podiatric Medicine Podiatrist25MD00340000NJ

General Provider Information

NPI Number : 1023372653
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALICIA LAI DPM
Provider Business Mailing Address
First Line : 222 NEW RD STE 205
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1281
Country : US
Telephone Number : 609-653-2066
Fax Number :
Provider Business Practice Location Address
First Line : 222 NEW RD STE 205
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1281
Country : US
Telephone Number : 609-653-2066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2012
Last Update Date : 06/02/2021

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Directions to “ DR. ALICIA LAI DPM” Practice Location

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