Healthcare Provider Details

I. General information

NPI: 1902258841
Provider Name (Legal Business Name): YUANLI LEI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2016
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date: 09/09/2019
Reactivation Date: 09/17/2019

III. Provider practice location address

1 HOSPITAL DR
COLUMBIA MO
65201-5276
US

IV. Provider business mailing address

1 HOSPITAL DR
COLUMBIA MO
65212-1000
US

V. Phone/Fax

Practice location:
  • Phone: 573-882-0598
  • Fax:
Mailing address:
  • Phone: 573-882-0598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number2026010661
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number43280
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: