Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 0101256318 | VA |
Y | 208600000X | Surgeon | 0101256318 | VA |
N | 2086X0206X | Surgical Oncologist | 60689 | WI |
NPI | 1063700607 |
---|---|
Provider Name | Victoria Lai |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2011 |
Last Update Date | 02/09/2014 |