Provider Demographics
NPI:1841576881
Name:LIN, LILY Z (DC)
Entity Type:Individual
Prefix:DR
First Name:LILY
Middle Name:Z
Last Name:LIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2701 CROW CANYON ROAD #D2
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583
Mailing Address - Country:US
Mailing Address - Phone:925-831-1289
Mailing Address - Fax:925-831-1289
Practice Address - Street 1:2701 CROW CANYON RD # D2
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1631
Practice Address - Country:US
Practice Address - Phone:925-831-1289
Practice Address - Fax:925-831-1289
Is Sole Proprietor?:No
Enumeration Date:2011-10-21
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27803111N00000X
CAAC9681171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111N00000XChiropractic ProvidersChiropractor