Lai Thao, PA-C

NPI #1922059120 in Edgerton, Wisconsin

Provider Information

NPI Number: 1922059120
Entity Type: Individual
Name: Lai Thao, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 12, 2006
Last Updated: Jun 28, 2021

Practice Location

Address: 11051 N SHERMAN RD
City: Edgerton
State: Wisconsin
ZIP Code: 53534-9002
Phone: (608) 884-3354

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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