SearchMichigan363LP2300X

Li Song, NP

NPI 1043601164 · on the registry since 2015 · sole proprietor

Practice

Address
4206 Pontiac Lake Rd
Waterford, MI 48328
Phone
(248) 742-1638
Fax
(248) 742-1654
Clinicians at this address
6

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Also registered as
208VP0014X
363LF0000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan