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Individual

LISA QI FENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1168 FIRST COLONIAL RD STE 201, VIRGINIA BEACH, VA 23454-2444
(757) 481-1113
(757) 496-3822
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541

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
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