Provider Demographics
NPI:1780758680
Name:LAI, YIN-LOK (MD,PHD)
Entity type:Individual
Prefix:DR
First Name:YIN-LOK
Middle Name:
Last Name:LAI
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5069 BUFORD HWY NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30340-1102
Mailing Address - Country:US
Mailing Address - Phone:770-451-5403
Mailing Address - Fax:770-451-5548
Practice Address - Street 1:5069 BUFORD HWY NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30340-1102
Practice Address - Country:US
Practice Address - Phone:770-451-5403
Practice Address - Fax:770-451-5548
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA25881207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00317105AMedicaid
GA00317105AMedicaid