Provider Demographics
NPI:1174966790
Name:SEMROW, JENG-LI LILY (DC)
Entity type:Individual
Prefix:
First Name:JENG-LI
Middle Name:LILY
Last Name:SEMROW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 E 16TH ST
Mailing Address - Street 2:STE 175, UNIT A
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-9257
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:833 E 16TH ST
Practice Address - Street 2:STE 175, UNIT A
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-9257
Practice Address - Country:US
Practice Address - Phone:770-885-3227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010197111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology