Individual
LILY YIJU WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A83685
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A836850
MEDICAL
CA
Enumeration date
06/14/2006
Last updated
07/08/2007
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