Individual
LILY T IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
419 W REDWOOD ST, SUITE 479, BALTIMORE, MD 21201-1734
(410) 328-5918
(410) 328-6346
Mailing address
419 W REDWOOD ST, SUITE 479, BALTIMORE, MD 21201-1734
(410) 328-5918
(410) 328-6346
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0063550
MD
Other
Enumeration date
07/12/2006
Last updated
12/14/2011
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