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NPI Code Detail

MEDICARE: MRS. DAWN M LAI CRNA

MEDICARE:  MRS. DAWN M LAI  CRNA
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
1367500000XCertified Registered Nurse Anesthetist425299-1NY
2367500000XCertified Registered Nurse AnesthetistRN611884PA

General Provider Information

NPI Number : 1124259171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAWN M LAI CRNA
Provider Business Mailing Address
First Line : 3425 DRIFTWOOD RD
Second Line :
City : BEMUS POINT
State : NY
Zip : 14712-9705
Country : US
Telephone Number : 716-338-7004
Fax Number :
Provider Business Practice Location Address
First Line : 3425 DRIFTWOOD RD
Second Line :
City : BEMUS POINT
State : NY
Zip : 14712-9705
Country : US
Telephone Number : 716-338-7004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2009
Last Update Date : 08/28/2013

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Directions to “ MRS. DAWN M LAI CRNA” Practice Location

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