Individual
DR. LILY WISE HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 BOARS HEAD PL, SUITE 110, CHARLOTTESVILLE, VA 22903-4677
(434) 202-7830
(434) 202-7823
Mailing address
2 BOARS HEAD PL, SUITE 110, CHARLOTTESVILLE, VA 22903-4677
(434) 202-7830
(434) 202-7823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101057199
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010142105
VA PREMIER/UNICARE
VA
05
—
010142105
—
VA
01
—
176102
ANTHEM SERVICES HEALTHKEE
VA
01
—
2131900
MAMSI
VA
01
—
260216
SO HEALTH
VA
01
—
540261840
TRICARE
VA
01
—
7988480003
CIGNA
VA
01
—
94928
SENTARA
VA
01
—
P00233742
PALMETTO GBA RAILROAD
VA
Enumeration date
03/21/2006
Last updated
06/13/2014
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