Black, Lily Ann
Black, Lily Ann is an individual health care provider with primary practice located at 4199 Washington St , Roslindale MA 02131-1733. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Black, Lily Ann can be contacted via phone (405) 821-1155.Contact Information
Primary practice address
4199 Washington St
Roslindale MA 02131-1733
Phone: (405) 821-1155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1016219 | Massachusetts |
Profile Details
| NPI number | 1609495514 |
|---|---|
| LBN Legal business name | Black, Lily Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2020 |
| Last updated | Apr 2nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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