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NPI Code Detail

MEDICARE: MONICA LAI

MEDICARE:   MONICA  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
1152W00000XOptometrist6482OH

General Provider Information

NPI Number : 1598210486
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA LAI
Provider Business Mailing Address
First Line : 652 GREAT NORTHERN MALL
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-3306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 652 GREAT NORTHERN MALL
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-3306
Country : US
Telephone Number : 440-734-5037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2016
Last Update Date : 09/20/2018

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Directions to “ MONICA LAI ” Practice Location

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