Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | D76716 | MD |
NPI | 1548309875 |
---|---|
Provider Name | Lilja Bjork Solnes |
First Address | Baltimore, MD 21236-4902 |
Second Address | Baltimore, MD 21287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 07/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02186203 | MEDICAID GROUP # (01) | NY |
1AAF535021 | (02) | NY |
W35021 | MEDICARE GROUP # (01) | NY |