Provider Demographics
NPI:1144430703
Name:LI, XUZHI
Entity type:Individual
Prefix:
First Name:XUZHI
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 MECHANIC STREET
Mailing Address - Street 2:APT A
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-1545
Mailing Address - Country:US
Mailing Address - Phone:617-678-0691
Mailing Address - Fax:
Practice Address - Street 1:195 MECHANIC ST
Practice Address - Street 2:APT A
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1545
Practice Address - Country:US
Practice Address - Phone:617-678-0691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist