Individual
LILY TADAYYON KREGENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
316 MARTIN LUTHER KING JR WAY, 212, TACOMA, WA 98405-4252
(253) 383-5777
(253) 627-0855
Mailing address
11 GARVEY PARKWAY, ST CHARLES, MD 63303
(636) 441-7280
(636) 939-9208
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00048510
WA
Other
Enumeration date
03/29/2006
Last updated
09/21/2012
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