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LAI THAO, PA-C

PA-C

Physician Assistant

NPI: 1922059120IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

11615(MN)1923-23(WI)

CMS Specialties

Education

OTHER

Class of 2005

Contact & Hours

Address
11051 N SHERMAN RD
EDGERTON, WI 53534

Quick Facts

NPI
1922059120
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
21

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