Individual
LIPING LAURA ZHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
3775 N MULFORD RD, ROCKFORD, IL 61114-5632
(779) 696-9202
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036105158
IL
207Q00000X
Family Medicine Physician
01081057A
IN
207Q00000X
Family Medicine Physician
Primary
036-105158
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300019960
—
IN
Enumeration date
12/08/2005
Last updated
03/11/2024
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