Most Relevant Information
Provider Data
| NPI Number: | 1003490905 |
| Provider Name: | FANG LI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2021 |
| Last Updated: | 05/07/2021 |
Provider Practice Location
853 JEFFERSON AVE STE E102
MEMPHIS
TN
381032804
Practice Location Phone/Fax
| Phone: | 9014482531 |
| Fax: | 9014484701 |
Provider Mailing Location
472 RANDALL DR
TROY
MI
480855529
Provider Mailing Phone/Fax
| Phone: | 7572148327 |
| Fax: |