Provider Demographics
NPI:1689106791
Name:LAI, JUN YI (MD)
Entity Type:Individual
Prefix:
First Name:JUN YI
Middle Name:
Last Name:LAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 ABBEY GLEN CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-7462
Mailing Address - Country:US
Mailing Address - Phone:408-410-9864
Mailing Address - Fax:
Practice Address - Street 1:16420 RR 620 STE 104
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5794
Practice Address - Country:US
Practice Address - Phone:737-279-5700
Practice Address - Fax:737-279-5701
Is Sole Proprietor?:No
Enumeration Date:2017-03-29
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS9014207R00000X, 207R00000X
CAA169851207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine