Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lai Thao, PA-C

Individual provider Physician Assistant · NPI 1922059120

Lai Thao, PA-C is a Physician Assistant in Edgerton, Wisconsin. Qualified in 2005, 21 years ago. Practices with The Monroe Clinic, Inc, a 201-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
21
Licensed in
MN, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

11051 N Sherman Rd
Edgerton, WI 53534-9002
Phone: (608) 884-3354
Fax: (608) 884-5024
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1923-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 11615 (MN)

Record details

NPI number1922059120
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice The Monroe Clinic, Inc. — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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