Individual
DR. LILLIAN FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3617 CASEY ST STE B, LORIS, SC 29569-2981
(843) 716-8300
(843) 716-9792
Mailing address
3617 CASEY ST STE B, LORIS, SC 29569-2981
(843) 716-8300
(843) 716-9792
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
88015
SC
Other
Enumeration date
03/18/2019
Last updated
07/07/2025
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