Doctor Name: | LILIA CHANG DE JESUS |
NPI Number: | 1356557284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 4301078225 |
Business Practice Address: | 3901 Beaubien Blvd. Children's Hospital Of Michigan Detroit, MI - 48201 |
Business Phone Number: | 3137455638 |
Business Fax Number: | |
Mailing Address: | 3901 Beaubien St, Neonatal-perinatal Medicine DETROIT |
State: | MI |
Postal Code: | 482012119 |
Phone Number: | 3137455638 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 11/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 4301078225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |