Provider Demographics
NPI:1124259171
Name:LAI, DAWN M (CRNA)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:M
Last Name:LAI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MISS
Other - First Name:DAWN
Other - Middle Name:M
Other - Last Name:KARMAZYN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:3425 DRIFTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BEMUS POINT
Mailing Address - State:NY
Mailing Address - Zip Code:14712-9705
Mailing Address - Country:US
Mailing Address - Phone:716-338-7004
Mailing Address - Fax:
Practice Address - Street 1:3425 DRIFTWOOD RD
Practice Address - Street 2:
Practice Address - City:BEMUS POINT
Practice Address - State:NY
Practice Address - Zip Code:14712-9705
Practice Address - Country:US
Practice Address - Phone:716-338-7004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY425299-1367500000X
PARN611884367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered