NPI | 1144027046 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT R LILLY CEO 301-663-6162 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
363LP0200X Nurse Practitioner Pediatrics | |
133V00000X Dietitian, Registered | |
Enumeration Date | 2025-02-27 |
Last Update Date | 2025-02-27 |