Doctor Name: | LILI CHEN |
NPI Number: | 1699105411 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 18585 |
Business Practice Address: | 1588 Geer Hwy Travelers Rest, SC - 296909204 |
Business Phone Number: | 8648361109 |
Business Fax Number: | 8648366365 |
Mailing Address: | Po Box 287, GREENVILLE |
State: | SC |
Postal Code: | 296020287 |
Phone Number: | 8642331534 |
Fax Number: | 8647510479 |
NPI Enumeration Date: | 11/14/2013 |
NPI Last Update Date: | 11/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 18585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |