Individual
MS. LILY W. WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-4512
(702) 388-8431
Mailing address
620 SHADOW LN, LAS VEGAS, NV 89106-4119
(702) 388-8431
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A14577
CA
207R00000X
Internal Medicine Physician
Primary
DO2018
NV
208M00000X
Hospitalist Physician
DO2018
NV
Other
Enumeration date
06/05/2012
Last updated
05/11/2016
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