| NPI | 1689658890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT R LILLY CEO 301-663-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2025-02-27 |