| Doctor Name: | LI LI |
| NPI Number: | 1992956809 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 62621 |
| Business Practice Address: | 12751 Westlinks Dr Unit 3 Fort Myers, FL - 339138615 |
| Business Phone Number: | 2395619622 |
| Business Fax Number: | 2397685297 |
| Mailing Address: | 4371 Veronica S Shoemaker Blvd, Attn: Credential Department FORT MYERS |
| State: | FL |
| Postal Code: | 339162216 |
| Phone Number: | 2392748200 |
| Fax Number: | 2392783350 |
| NPI Enumeration Date: | 10/09/2008 |
| NPI Last Update Date: | 12/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 62621 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |