MEDICARE: QIANLEI LI

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
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1790313872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QIANLEI LI

Provider Business Mailing Address
First Line	:	3600 S GLEBE RD UNIT 517W
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-2384
Country	:	US
Telephone Number	:	202-679-0585
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 S GLEBE RD UNIT 517W
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-2384
Country	:	US
Telephone Number	:	202-679-0585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2020
Last Update Date	:	04/01/2020

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Directions to “ QIANLEI LI ” Practice Location

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