Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 0101260002 | VA |
NPI | 1043576614 |
---|---|
Provider Name | Dr. Peter Lai Wei |
First Address | Leesburg, VA 20176-8263 |
Second Address | Leesburg, VA 20176-8263 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2012 |
Last Update Date | 10/08/2016 |