Individual
MS. LILLIAN ROCHELLE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
223 PHILLIP MORRIS DR, SALISBURY, MD 21804-1923
(410) 548-1747
(410) 548-3783
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-0654
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R206636
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
02/16/2022
Last updated
07/28/2022
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