Provider Demographics
NPI:1427210079
Name:LAI, ELIZABETH T (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:T
Last Name:LAI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1640 S GROVE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761
Mailing Address - Country:US
Mailing Address - Phone:909-477-8900
Mailing Address - Fax:909-277-7894
Practice Address - Street 1:1640 S GROVE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761
Practice Address - Country:US
Practice Address - Phone:909-477-8900
Practice Address - Fax:909-277-7894
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2023-12-06
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Provider Licenses
StateLicense IDTaxonomies
CAA1128342080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology