Edilisa Lu Ong

NPI #1922730910 in Tyler, Texas

Provider Information

NPI Number: 1922730910
Entity Type: Individual
Name: Edilisa Lu Ong
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Jun 28, 2022
Last Updated: Aug 6, 2025

Practice Location

Address: 1000 E 5TH ST STE 400
City: Tyler
State: Texas
ZIP Code: 75701-3362
Phone: (903) 590-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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