Individual
MS. LILLIE MARQUE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3460 OLD WASHINGTON RD, SUITE 300, WALDORF, MD 20602-3240
(301) 645-1523
(301) 645-6812
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031-1002
(301) 645-1523
(301) 645-6812
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005644
MD
Other
Enumeration date
11/06/2006
Last updated
02/21/2017
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