Basic Information
Provider Information
NPI: 1174987556
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAI
FirstName: JOSEPH
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 104 W 5TH AVE STE 200W
Address2:  
City: SPOKANE
State: WA
PostalCode: 992044803
CountryCode: US
TelephoneNumber: 5097443750
FaxNumber: 5097443969
Practice Location
Address1: 800 W 5TH AVE
Address2:  
City: SPOKANE
State: WA
PostalCode: 992042803
CountryCode: US
TelephoneNumber: 5098382531
FaxNumber: 5097556580
Other Information
ProviderEnumerationDate: 04/11/2016
LastUpdateDate: 09/13/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/13/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XMD60945083WAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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