Organization Active NPI

Lilian T Lai MD PLLC

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1891249272
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301407145 Issued in MI
Legal business name
LILIAN T LAI MD PLLC
Practice address
4201 Saint Antoine St
2Z DRH Uhc
Detroit, MI 48201-2153
Phone
(313) 745-8453
Fax
(313) 745-8162
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lilian Lai
Title
MD
Phone
(313) 745-8453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301407145 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St
2Z DRH Uhc
Detroit, MI 48201-2153

Mailing address

4201 Saint Antoine St
2Z DRH Uhc
Detroit, MI 48201-2153
Phone (313) 745-8453

Other identifiers 1

IdentifierTypeStateIssuer
4301407145MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1891249272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "2Z DRH UHC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-8453",
            "fax_number": "313-745-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "2Z DRH UHC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-8453",
            "fax_number": "313-745-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIAN T LAI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "313-745-8453"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301407145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301407145",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.