Most Relevant Information
Provider Data
| NPI Number: | 1003686155 |
| Provider Name: | THAIBINH PAUL LAI-NGUYEN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/08/2024 |
| Last Updated: | 05/03/2024 |
Provider Practice Location
1441 FLORIDA AVE
MODESTO
CA
953504418
Practice Location Phone/Fax
| Phone: | 2095781211 |
| Fax: |
Provider Mailing Location
1441 FLORIDA AVE
MODESTO
CA
953504418
Provider Mailing Phone/Fax
| Phone: | 2095781211 |
| Fax: |