Individual
LI LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CRC ROOM 1 1469 BLDG 10, 10 CENTER DRIVE, MSC 1604, BETHESDA, MD 20892-0001
(301) 496-4733
(301) 480-0669
Mailing address
CRC ROOM 1 1469 BLDG 10, 10 CENTER DRIVE, MSC 1604, BETHESDA, MD 20892-0001
(301) 496-4733
(301) 480-0669
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0056970
MD
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
D0056970
MD
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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