Individual
LIZY BOSE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14999 HEALTH CENTER DR, SUITE 201, BOWIE, MD 20716-1074
(301) 262-8188
(301) 464-8233
Mailing address
14999 HEALTH CENTER DR, SUITE 201, BOWIE, MD 20716-1074
(301) 262-8188
(301) 464-8233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0055376
MD
207R00000X
Internal Medicine Physician
MD31662
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026714900
—
DC
Enumeration date
10/27/2006
Last updated
03/17/2017
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