Organization
WILLIE M YU P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LELIUGAITE (MANAGER)
(301) 668-0888
Entity
Organization
Contact information
Practice address
6550 MERCANTILE DR E, SUITE 104, FREDERICK, MD 21703-7655
(301) 668-0888
(301) 668-0999
Mailing address
6550 MERCANTILE DR E STE 104, FREDERICK, MD 21703-7656
(301) 668-0888
(301) 668-0999
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D0053489
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158300000
—
MD
Enumeration date
05/23/2006
Last updated
11/20/2025
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