Provider Demographics
NPI:1598108235
Name:LI, LI (MD, PHD)
Entity Type:Individual
Prefix:
First Name:LI
Middle Name:
Last Name:LI
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Gender:F
Credentials:MD, PHD
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Other - First Name:
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Mailing Address - Street 1:132 S 10TH ST
Mailing Address - Street 2:FL 2 RM 285K
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5244
Mailing Address - Country:US
Mailing Address - Phone:215-503-5642
Mailing Address - Fax:215-503-4817
Practice Address - Street 1:132 S 10TH ST
Practice Address - Street 2:FL 2 RM 285K
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5244
Practice Address - Country:US
Practice Address - Phone:215-503-5642
Practice Address - Fax:215-503-4817
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2020-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD466111207ZP0102X
NY301142207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology