Provider Demographics
NPI:1447295993
Name:TSAI, LII-MEI B (MD)
Entity type:Individual
Prefix:
First Name:LII-MEI
Middle Name:B
Last Name:TSAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:731 THE HAMPTONS LN
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-5901
Mailing Address - Country:US
Mailing Address - Phone:314-645-6454
Mailing Address - Fax:314-872-8069
Practice Address - Street 1:11710 ADMINISTRATION DR
Practice Address - Street 2:SUITE #22
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-3407
Practice Address - Country:US
Practice Address - Phone:314-645-6454
Practice Address - Fax:314-872-8069
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO35723207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E21109Medicare UPIN