Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Lily W. Wong, DO

Individual provider Internal Medicine Physician · NPI 1669733812

MS. Lily W. Wong, DO is an Internal Medicine in Las Vegas, Nevada. Qualified in 2012, 14 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
14
Licensed in
CA, NV
In the registry since
2012
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

620 Shadow Ln
Las Vegas, NV 89106-4119
Phone: (702) 388-4512
Fax: (702) 388-8431
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DO2018 (NV)
Hospitalist Physician Taxonomy 208M00000X · Licence DO2018 (NV)
Internal Medicine Physician Taxonomy 207R00000X · Licence 20A14577 (CA)

Record details

NPI number1669733812
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 5, 2012
Last updated in NPPESMay 11, 2016
Mailing address620 Shadow Ln, Las Vegas, NV 89106-4119

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Las Vegas