Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 58851 | TN |
NPI | 1023404597 |
---|---|
Provider Name | Lilly Zhu |
First Address | Nashville, TN 37232-2358 |
Second Address | Brentwood, TN 37027-5250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2015 |
Last Update Date | 23/06/2020 |