Provider Demographics
NPI:1528545480
Name:LEI, QIAOLI (LAC, DIPLOM)
Entity Type:Individual
Prefix:
First Name:QIAOLI
Middle Name:
Last Name:LEI
Suffix:
Gender:F
Credentials:LAC, DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2723 FOXCROFT RD STE 103
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-6511
Mailing Address - Country:US
Mailing Address - Phone:501-312-9888
Mailing Address - Fax:
Practice Address - Street 1:2723 FOXCROFT RD STE 103
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-6511
Practice Address - Country:US
Practice Address - Phone:501-312-9888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR014171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist