Individual
LILLY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 6TH AVE S, DEPARTMENT 6590170301, ST PETERSBURG, FL 33701-4634
(352) 273-8985
Mailing address
700 DOCKVIEW WAY APT 1421, TAMPA, FL 33602-6734
(813) 849-3147
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME117162
FL
Other
Enumeration date
04/06/2010
Last updated
12/20/2016
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