Kristen N. Lai PA-C
Physician Assistant in Melbourne, FL(View on Map)
Full Name
Kristen Noel Lai PA-C
NPI Number
1881096865
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/22/2014
Specialties
(Taxonomies)Licenses
State
Florida
Ohio
License Number
PA9109983
50.004064
Contact
Information
Purpose
Mailing
Location
Address
240 N WICKHAM RD
240 N WICKHAM RD
City
Melbourne
Melbourne
State
FL
FL
Postal Code
32935-8662
32935-8662
Country
US
US
Telephone Number
(321) 253-1992
(321) 253-1992
Identifiers
Identifier
H401320
0111689
Identifier State
OH
OH
Identifier Issuer
MEDICARE PTAN
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/16/2017
Provider Address
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