Individual
LISA QI FENG
Active
Individual
LISA QI FENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101265741
VA
207R00000X
Internal Medicine Physician
33968
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110186653
RR MEDICARE PIN
KY
01
—
36000818
ASC MEDICAID GROUP
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64339682
—
KY
01
—
ASC1019
ASC MEDICARE GROUP
KY
01
—
CC4966
RR MEDICARE GROUP
KY
Enumeration date
07/05/2006
Last updated
12/31/2018
Update your record
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