Provider Demographics
NPI:1063540649
Name:LAI, EUGENIA W (LAC)
Entity type:Individual
Prefix:
First Name:EUGENIA
Middle Name:W
Last Name:LAI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2807 BENT RIVER CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1361
Mailing Address - Country:US
Mailing Address - Phone:713-503-0678
Mailing Address - Fax:
Practice Address - Street 1:2807 BENT RIVER CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1361
Practice Address - Country:US
Practice Address - Phone:713-503-0678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00838171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist