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Organization
LAWRENCE E TILLEY, MDPA
Active
Organization
LAWRENCE E TILLEY, MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE EDWARD TILLEY M.D. (OWNER)
(301) 475-8599
Entity
Organization
Contact information
Practice address
23000 MOAKLEY ST, SUITE 203, LEONARDTOWN, MD 20650-2915
(301) 475-8599
Mailing address
23000 MOAKLEY ST, SUITE 203, LEONARDTOWN, MD 20650-2915
(301) 475-8599
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D28647
MD
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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