Provider Demographics
NPI:1811097041
Name:LAI, WEI-SHIN (MD)
Entity type:Individual
Prefix:DR
First Name:WEI-SHIN
Middle Name:
Last Name:LAI
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 1:102B RITENOUR BLDG
Mailing Address - Street 2:PENNSYLVANIA STATE UNIVERSITY
Mailing Address - City:UNIVERSITY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:16802
Mailing Address - Country:US
Mailing Address - Phone:814-863-8552
Mailing Address - Fax:814-863-3511
Practice Address - Street 1:102B RITENOUR BLDG
Practice Address - Street 2:PENNSYLVANIA STATE UNIVERSITY
Practice Address - City:UNIVERSITY PARK
Practice Address - State:PA
Practice Address - Zip Code:16802
Practice Address - Country:US
Practice Address - Phone:814-863-8552
Practice Address - Fax:814-863-3511
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT043497207Q00000X
PAMD432289207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I51677Medicare UPIN