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NPI Code Detail

MEDICARE: I-JU LAI

MEDICARE: I-JU LAI
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
1183500000XPharmacist39344TX

General Provider Information

NPI Number : 1043548241
Entity Type Code : Individual
Provider Name (Legal Business Name) : I-JU LAI
Provider Business Mailing Address
First Line : 5002 BELLAIRE BLVD
Second Line :
City : BELLAIRE
State : TX
Zip : 77401-4002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5002 BELLAIRE BLVD
Second Line :
City : BELLAIRE
State : TX
Zip : 77401-4002
Country : US
Telephone Number : 713-663-6636
Fax Number : 713-663-6586
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2009
Last Update Date : 01/04/2012

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Directions to “ I-JU LAI ” Practice Location

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