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NPI Code Detail

MEDICARE: LI LI M.D., PH.D.

MEDICARE: LI LI M.D., PH.D.
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD466111PA
2207ZP0105XClinical Pathology/Laboratory Medicine PhysicianME180264FL

General Provider Information

NPI Number : 1598108235
Entity Type Code : Individual
Provider Name (Legal Business Name) : LI LI M.D., PH.D.
Provider Business Mailing Address
First Line : PO BOX 860912
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55486-0912
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4500 SAN PABLO RD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-1865
Country : US
Telephone Number : 904-953-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2013
Last Update Date : 04/14/2026

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