DR. WALLACE I LAI MD NPI 1578503249

NPI Information

NPI: 1578503249
Provider Name: DR. WALLACE I LAI, MD
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

PECOS Registration: Yes

Address:
2480 LIBERTY ST NE
SUITE 110
SALEM, OR
ZIP 97301
Phone: (503) 371-1756
Get Directions

DR. Wallace I Lai, MD is a clinical cardiac electrophysiology internal medicine in Salem, OR with 33 years of experience. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. DR. Wallace I Lai, MD NPI is 1578503249. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

2480 LIBERTY ST NE
SUITE 110
SALEM, OR
ZIP 97301-380
Phone: (503) 371-1756
Fax: (503) 584-7971

The NPI 1578503249 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 9/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	MD17813	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	288256	MEDICAID	OREGON
2	R134732	MEDICARE PIN	OREGON
3	R138647	MEDICARE PIN	OREGON
4	R152478	MEDICARE PIN	OREGON
5	100009591	MEDICAID	OREGON
6	060060218	OTHER	OREGON	RAILROAD MEDICARE
7	H17739	MEDICARE UPIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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