CHIN-QUNE OLIVER YEUNG LAI WAH

JACKSON, MS
NPI1669098794
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  T-3978)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-06-24
Last Update Date2020-07-06
Business Address
CHIN-QUNE OLIVER YEUNG LAI WAH MD
764 LAKELAND DR
JACKSON, MS 39216-4651
Phone number: 601-984-6800
Mailing Address
CHIN-QUNE OLIVER YEUNG LAI WAH MD
120 DISTRICT BLVD APT 418
JACKSON, MS 39211-6388
Phone number: 601-951-8062