Provider Demographics
NPI:1649258617
Name:LAIT, MARCI E (MD)
Entity type:Individual
Prefix:DR
First Name:MARCI
Middle Name:E
Last Name:LAIT
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 1:4917 S CROATAN HWY STE 1C
Mailing Address - Street 2:
Mailing Address - City:NAGS HEAD
Mailing Address - State:NC
Mailing Address - Zip Code:27959-8996
Mailing Address - Country:US
Mailing Address - Phone:252-489-4682
Mailing Address - Fax:252-715-2007
Practice Address - Street 1:4917 S CROATAN HWY STE 1C
Practice Address - Street 2:
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959-8996
Practice Address - Country:US
Practice Address - Phone:252-489-4682
Practice Address - Fax:252-715-2007
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA209643207Y00000X
NC2007-01728207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0139611OtherHEALTHY START
MA0139611Medicaid
04 2472266OtherTHREE RIVERS
7956314OtherAETNA US HEALTHCARE
AA3713OtherHARVARD PILGRIM HEALTHCAR
J23431OtherBLUE SHIELD HMO BLUE
04 2472266OtherPRIVATE HEALTHCARE SYSTEM
60884OtherFALLON COMMUNITY HEALTH P
784045OtherMVP HEALTH CARE
10 00121OtherEVERCARE
1496762OtherCIGNA HEALTH PLAN
040016008OtherRAILROAD MEDICARE
A32301OtherMEDICARE B
J23431OtherBLUE CARE ELECT
J23431OtherBLUE SHIELD INDEMNITY
042472266OtherHEALTHCARE VALUE MANAGEME
042472266OtherONE HEALTH PLAN
1919737OtherFIRST HEALTH
784045OtherMVP HEALTH CARE
042472266OtherHEALTHCARE VALUE MANAGEME