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Individual
LILI REN
Active
Individual
LILI REN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
254738
NY
207R00000X
Internal Medicine Physician
Primary
254738
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
254738
NY STATE LICENSE
NY
Enumeration date
09/09/2009
Last updated
04/10/2026
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