Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 073339 | GA |
N | 208600000X | Surgeon | 073339 | GA |
Y | 2086X0206X | Surgical Oncologist | 284141 | NY |
NPI | 1003135310 |
---|---|
Provider Name | Dr. Lisa Marie Lai |
First Address | Syracuse, NY 13212-4516 |
Second Address | Syracuse, NY 13210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2010 |
Last Update Date | 21/10/2016 |