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NPI Code Detail

MEDICARE: YOU FEN LEI

MEDICARE: YOU FEN LEI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051297807IL

General Provider Information

NPI Number : 1346642881
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOU FEN LEI
Provider Business Mailing Address
First Line : 1713 W SPRINGFIELD AVE
Second Line :
City : CHAMPAIGN
State : IL
Zip : 61821-3011
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1713 W SPRINGFIELD AVE
Second Line :
City : CHAMPAIGN
State : IL
Zip : 61821-3011
Country : US
Telephone Number : 217-356-2529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2014
Last Update Date : 09/16/2014

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Directions to “ YOU FEN LEI ” Practice Location

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