Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 46168 | MA |
Y | 2084N0402X | Child Neurologist | 46168 | MA |
NPI | 1134108533 |
---|---|
Provider Name | Dr. Florence Lai |
First Address | Charlestown, MA 02129-9142 |
Second Address | Belmont, MA 02478-1041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 12/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
046168 | TUFTS HEALTH PLAN (01) | MA |
3140768 | (05) | MA |
D82916 | (02) | |
J053636 | BCBS OF MA (01) | MA |