Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 11613T | CA |
NPI | 1114202181 |
---|---|
Provider Name | Dr. Margaret Lai |
First Address | Santa Monica, CA 90403 |
Second Address | Santa Monica, CA 90403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2011 |
Last Update Date | 20/10/2011 |