Basic Information
| Provider Information | |||||||||
| NPI: | 1376753061 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | POON | ||||||||
| FirstName: | LILI | ||||||||
| MiddleName: | JO | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 60447 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282600447 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043161062 | ||||||||
| FaxNumber: | 7043841063 | ||||||||
| Practice Location | |||||||||
| Address1: | 1900 RANDOLPH RD STE 1010 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282071117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043161062 | ||||||||
| FaxNumber: | 7043841063 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2007 | ||||||||
| LastUpdateDate: | 10/26/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RS0012X | 2012-01696 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | 207R00000X | 34.009853 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 2012-01696 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RS0012X | 34.009853 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine |
No ID Information.