Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 33080 | AZ |
NPI | 1053359737 |
---|---|
Provider Name | Dr. Lixian Zou |
First Address | Phoenix, AZ 85018-2322 |
Second Address | Phoenix, AZ 85020-2446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 30/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
876336 | (05) | AZ |
I14969 | (02) | AZ |