# LILIAN MABOH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215296157
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN1044197 | DC | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | R217417 | MD | Yes |
| 364SP0812X | Community Psychiatric/Mental Health Clinical Nurse Specialist | NP1044197 | DC | — |
| 374U00000X | Home Health Aide | — | NULL | — |

## Other

- **Enumeration date:** 05/13/2012
- **Last updated:** 01/07/2025