Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | D0075777 | MD |
N | 207XS0106X | Orthopaedic Hand Surgeon | D0075777 | MD |
NPI | 1063689982 |
---|---|
Provider Name | Victoria Ann Lilling |
First Address | Potomac, MD 20854-3363 |
Second Address | Potomac, MD 20854-3363 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 09/03/2021 |