Provider Demographics
NPI:1134634421
Name:LAI, CHRISTY (HAIR LOSS SPECIALIST)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:LAI
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 ULMERTON RD STE 816
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3540
Mailing Address - Country:US
Mailing Address - Phone:727-278-3135
Mailing Address - Fax:
Practice Address - Street 1:10500 ULMERTON RD STE 816
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3540
Practice Address - Country:US
Practice Address - Phone:727-278-3135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-08
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management