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NPI Code Detail

MEDICARE: LILI YE

MEDICARE: LILI YE
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
1183500000XPharmacistRP447213PA

General Provider Information

NPI Number : 1952788226
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILI YE
Provider Business Mailing Address
First Line : 246 N 3RD ST APT 1B
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19106-1124
Country : US
Telephone Number : 515-554-5684
Fax Number :
Provider Business Practice Location Address
First Line : 2131 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-1105
Country : US
Telephone Number : 215-236-2297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2015
Last Update Date : 05/06/2015

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Directions to “ LILI YE ” Practice Location

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