Provider Demographics
NPI:1457431330
Name:CAI, LAI FU (LAC)
Entity Type:Individual
Prefix:MRS
First Name:LAI FU
Middle Name:
Last Name:CAI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4222
Mailing Address - Country:US
Mailing Address - Phone:925-930-5639
Mailing Address - Fax:925-930-5699
Practice Address - Street 1:1615 N BROADWAY
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4222
Practice Address - Country:US
Practice Address - Phone:925-930-5639
Practice Address - Fax:925-930-5699
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2166171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist