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Individual

DR. ELIZABETH ANN LILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1306 EVA GUDE DR, CROWNSVILLE, MD 21032-2102
(301) 261-8598
(301) 261-8168
Mailing address
1306 EVA GUDE DR, CROWNSVILLE, MD 21032-2102
(301) 261-8598
(301) 261-8168

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D05627
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220791500
MD
Enumeration date
06/06/2006
Last updated
12/13/2007
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