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Huanchun Nana Lai, MD

Internal Medicine in Clinton Township, MI. Individual provider (NPI-1).

NPI number1194475475
StatusActive
Last updated in NPPESMay 13, 2022

Details

NPI
1194475475
Entity type
Individual (NPI-1)
Name
Huanchun Nana Lai
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 28, 2022
Certification date
May 13, 2022
Last updated
May 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine4351049022MIYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

36500 S Gratiot Ave Ste 102
Clinton Township, MI 48035-1772

Phone 586-790-9003 · Fax 586-493-3603

Mailing address

36500 S Gratiot Ave Ste 102
Clinton Township, MI 48035-1772

Phone 586-790-9003 · Fax 586-493-3603

Other practice locations

1000 Harrington St
Mount Clemens, MI 48043-2920

Phone 586-493-8749 · Fax 586-493-3250

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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