Provider Demographics
NPI:1710066709
Name:LAI, JENNIFER B (MSC, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:B
Last Name:LAI
Suffix:
Gender:F
Credentials:MSC, PHARMD
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Mailing Address - Street 1:99 MONTECILLO RD
Mailing Address - Street 2:KAISER FOUNDATION HOSPITALS, DPT OF INFECTIOUS DISEASES
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-3308
Mailing Address - Country:US
Mailing Address - Phone:415-444-4572
Mailing Address - Fax:415-444-4734
Practice Address - Street 1:99 MONTECILLO RD
Practice Address - Street 2:KAISER FOUNDATION HOSPITALS, DPT OF INFECTIOUS DISEASES
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3308
Practice Address - Country:US
Practice Address - Phone:415-444-4572
Practice Address - Fax:415-444-4734
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA50539183500000X
NV14617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist