Provider Demographics
NPI:1225499148
Name:LAI, YI CHUN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:YI
Middle Name:CHUN
Last Name:LAI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 SOUTH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5350
Mailing Address - Country:US
Mailing Address - Phone:973-267-0300
Mailing Address - Fax:973-984-2670
Practice Address - Street 1:182 SOUTH ST STE 1
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5350
Practice Address - Country:US
Practice Address - Phone:973-267-0300
Practice Address - Fax:973-984-2670
Is Sole Proprietor?:No
Enumeration Date:2016-03-20
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10802400207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA10802400OtherNJ MEDICAL LICENSE