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