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NPI Code Detail

MEDICARE: DR. YUEN SIM LAI PHARM D

MEDICARE: DR. YUEN SIM LAI PHARM D
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
1183500000XPharmacist118420-0MN
2183500000XPharmacist13846-040WI
3183500000XPharmacistDC

General Provider Information

NPI Number : 1265419816
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YUEN SIM LAI PHARM D
Provider Business Mailing Address
First Line : 1260 DEMING WAY APT 308
Second Line :
City : MADISON
State : WI
Zip : 53717-1992
Country : US
Telephone Number : 414-241-5443
Fax Number :
Provider Business Practice Location Address
First Line : 80 1ST ST
Second Line :
City : PRAIRIE DU SAC
State : WI
Zip : 53578-1550
Country : US
Telephone Number : 608-643-7243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2005
Last Update Date : 07/08/2007

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