Provider Demographics
NPI:1528385598
Name:LAI, HORNG-CHYI RICHARD
Entity Type:Individual
Prefix:
First Name:HORNG-CHYI
Middle Name:RICHARD
Last Name:LAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:HORNG-CHYI
Other - Middle Name:RICHARD
Other - Last Name:LAI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3000 15TH AVENUE SOUTH
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405
Mailing Address - Country:US
Mailing Address - Phone:406-454-2171
Mailing Address - Fax:
Practice Address - Street 1:1400 29TH ST S STE 220
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-5315
Practice Address - Country:US
Practice Address - Phone:406-350-4600
Practice Address - Fax:406-794-0555
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT41445207RR0500X
MTMED-PHYS-LIC41445208M00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MTMED-PHYS-LIC41445OtherMONTANA MEDICAL LICENSE