Goodwin, Lila Anne
Goodwin, Lila Anne is an sole proprietor health care provider with primary practice located at 10050 Baltimore National Pike , Ellicott City MD 21042-3501. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Goodwin, Lila Anne can be contacted via phone (410) 461-2020.Contact Information
Primary practice address
10050 Baltimore National Pike
Ellicott City MD 21042-3501
Phone: (410) 461-2020
Fax: (410) 461-2387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TA2210 | Maryland |
Profile Details
| NPI number | 1669483301 |
|---|---|
| LBN Legal business name | Goodwin, Lila Anne |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jan 30th, 2018 - about 6 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669483301 | NPPES |
| Maryland | Other | TA2210 | OPTOMETRY LICENSE |
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