Provider Demographics
NPI:1952558793
Name:WANG, HUEI-HSIANG LISA (PHD)
Entity type:Individual
Prefix:DR
First Name:HUEI-HSIANG
Middle Name:LISA
Last Name:WANG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:HUEIHSIANG
Other - Middle Name:LISA
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:25922 MIDDLEBELT RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-1447
Mailing Address - Country:US
Mailing Address - Phone:248-477-4740
Mailing Address - Fax:248-477-6549
Practice Address - Street 1:25922 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-1447
Practice Address - Country:US
Practice Address - Phone:248-477-4740
Practice Address - Fax:248-477-6549
Is Sole Proprietor?:No
Enumeration Date:2008-08-23
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033338183500000X
SC8740183500000X
NC13364183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist