Provider Demographics
NPI:1831394840
Name:ZHANG, LILI (LAC)
Entity type:Individual
Prefix:MRS
First Name:LILI
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:LILI
Other - Middle Name:
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2900 BROADWAY STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-1520
Mailing Address - Country:US
Mailing Address - Phone:650-578-1838
Mailing Address - Fax:
Practice Address - Street 1:2900 BROADWAY STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-1520
Practice Address - Country:US
Practice Address - Phone:650-839-1568
Practice Address - Fax:650-839-1668
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL AC 10569171100000X
CAAC10569171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist