Whalio Doctors

NPI 1063065522

Laura Lai Ming Chan, OD

Practitioner Optometrist Tahlequah, OK

Practice location

Address
1001 N Grand Ave, Tahlequah, OK 74464-7017
Phone
(918) 444-4000
Mailing address
3795 Southridge Cir APT 8, Tahlequah, OK 74464-7951

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 3017 (OK)

Registry record

NPI
1063065522
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Jul 2019
Record last updated
23 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.