Individual
LILY SY CHANG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4621 ASHWOOD DR, INDIANAPOLIS, IN 46268-1719
(317) 328-1874
Mailing address
105 JEM DR, AMBLER, PA 19002-2420
(215) 641-0727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01049651A
IN
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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