NPI | 1912109018 |
---|---|
Professional Name | LAWRENCE L GILLILAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 72242) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0101247434) |
2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2011017818) | |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: TN 390200000X) | |
Enumeration Date | 2007-06-01 |
Last Update Date | 2023-03-06 |