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Individual
LITA WANG
Active
Individual
LITA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062359
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030873
—
NY
Enumeration date
09/16/2016
Last updated
09/28/2016
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