Provider Demographics
NPI:1285847095
Name:LAI, WAYNE WEI-KU (MD)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:WEI-KU
Last Name:LAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1699 HARRISON ST STE D
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-7318
Mailing Address - Country:US
Mailing Address - Phone:870-793-5200
Mailing Address - Fax:870-793-5277
Practice Address - Street 1:1699 HARRISON ST STE D
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7318
Practice Address - Country:US
Practice Address - Phone:870-793-5200
Practice Address - Fax:870-793-5299
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-53262084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology