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Individual

MRS. LILLIAN R AWAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP-ADULT

Contact information

Practice address
3110 N. ROLLING RD, WINDSOR MILL, MD 21244
(410) 298-1931
(410) 298-1932
Mailing address
3110 N. ROLLING RD, WINDSOR MILL, MD 21244
(410) 298-1931
(410) 298-1932

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AC000143
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R094180
MD
363LP2300X
Primary Care Nurse Practitioner
R094180
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
812035800
MD
Enumeration date
04/10/2006
Last updated
08/12/2022
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