Individual
LILIA CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FACE
Contact information
Practice address
7505 OSLER DR, SUITE 501 ODEA MEDICAL ARTS, TOWSON, MD 21204-2751
(410) 337-3530
Mailing address
7505 OSLER DR, SUITE 501 ODEA MEDICAL ARTS, TOWSON, MD 21204-2751
(410) 337-3530
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D0025886
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110229868
MBAR
—
01
—
2263LA 35060902
BSMS
—
05
—
432101400
—
MD
01
—
T929
BSDC
—
Enumeration date
12/27/2006
Last updated
07/08/2007
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