Individual
LILY NGA-YAN PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 943-2000
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A94399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962623348
—
CA
01
—
EC554Z
CA MEDICARE
CA
Enumeration date
05/01/2007
Last updated
04/03/2024
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