Individual
DR. LILY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1110 HIGHLANDS PLAZA DR E, STE 375, SAINT LOUIS, MO 63110-1350
(314) 367-3113
(314) 454-9382
Mailing address
1110 HIGHLANDS PLAZA DR E, STE 375, SAINT LOUIS, MO 63110-1350
(314) 367-3113
(314) 454-9382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015014713
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659632883
—
MO
Enumeration date
06/05/2012
Last updated
11/15/2016
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