Provider Demographics
NPI:1235192956
Name:ZENG, LILI (DA)
Entity Type:Individual
Prefix:DR
First Name:LILI
Middle Name:
Last Name:ZENG
Suffix:
Gender:F
Credentials:DA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 RESERVOIR AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-5135
Mailing Address - Country:US
Mailing Address - Phone:401-529-0412
Mailing Address - Fax:401-275-0620
Practice Address - Street 1:1039 RESERVOIR AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-5135
Practice Address - Country:US
Practice Address - Phone:401-529-0412
Practice Address - Fax:401-275-0620
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDA 00139174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist