NPI | 1083411979 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT R LILLY CEO 301-663-6162 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 133V00000X Dietitian, Registered |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
Enumeration Date | 2025-02-27 |
Last Update Date | 2025-02-27 |