Individual provider · Type 1 NPI

Fang Li

Student in an Organized Health Care Education/Training Program · Memphis, TN

NPI number 1003490905 Active

Practice location

853 Jefferson Ave Ste E102
Memphis, TN 38103-2804

Call (901) 448-2531 Map

Fax (901) 448-4701

Mailing address

472 Randall Dr
Troy, MI 48085-5529

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003490905

Fang Li's National Provider Identifier is 1003490905, issued on May 7, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on May 7, 2021.