Lai, Derian

Lai, Derian is an individual health care provider with primary practice located at 1914 Lelaray St , Colorado Springs CO 80909-2800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lai, Derian can be contacted via phone (719) 632-7641.

Contact Information

Primary practice address
1914 Lelaray St Colorado Springs CO 80909-2800
Fax: (719) 632-2925
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 65162 Colorado

Profile Details

NPI number 1811351588
LBN Legal business name Lai, Derian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2016
Last updated Apr 18th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811351588 NPPES
Colorado MEDICAID 9000174445

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