Individual
CHING LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
141 W 22ND ST, SUITE 112, ANDERSON, IN 46016-4304
(765) 646-6043
Mailing address
13204 LAMANA PL, WESTFIELD, IN 46074-8323
(317) 490-9223
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11012312A
IN
207W00000X
Ophthalmology Physician
01061015A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01061015A
INDIANA MEDICAL BOARD
IN
Enumeration date
06/01/2007
Last updated
07/17/2007
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