Provider Demographics
NPI:1457793838
Name:CHAN, LAI-MING LISA (DO)
Entity Type:Individual
Prefix:DR
First Name:LAI-MING
Middle Name:LISA
Last Name:CHAN
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Gender:F
Credentials:DO
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Mailing Address - Street 1:40 SUNSHINE COTTAGE RD
Mailing Address - Street 2:SKYLINE ROOM 1N-E29
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1524
Mailing Address - Country:US
Mailing Address - Phone:914-493-7585
Mailing Address - Fax:914-594-2350
Practice Address - Street 1:40 SUNSHINE COTTAGE RD
Practice Address - Street 2:SKYLINE ROOM 1N-E29
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1524
Practice Address - Country:US
Practice Address - Phone:914-493-7585
Practice Address - Fax:914-594-2350
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2015-03-04
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Provider Licenses
StateLicense IDTaxonomies
NY27012912080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology