Provider Demographics
NPI:1720603582
Name:ZHOU, LILY WENYA (MD)
Entity Type:Individual
Prefix:DR
First Name:LILY
Middle Name:WENYA
Last Name:ZHOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 WELCH ROAD, SUITE 350
Mailing Address - Street 2:STANFORD STROKE CENTER
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304
Mailing Address - Country:US
Mailing Address - Phone:650-723-2606
Mailing Address - Fax:650-723-4451
Practice Address - Street 1:780 WELCH ROAD, SUITE 350
Practice Address - Street 2:STANFORD STROKE CENTER
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304
Practice Address - Country:US
Practice Address - Phone:650-723-2606
Practice Address - Fax:650-723-4451
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA1595162084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program