Hargrove, Lily Wise

Hargrove, Lily Wise is an individual health care provider with primary practice located at 2 Boars Head Pl Suite 110, Charlottesville VA 22903-4677. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hargrove, Lily Wise can be contacted via phone (434) 202-7830.

Contact Information

Primary practice address
2 Boars Head Pl Suite 110 Charlottesville VA 22903-4677
Phone: (434) 202-7830
Fax: (434) 202-7823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101057199 Virginia

Profile Details

NPI number 1740249317
LBN Legal business name Hargrove, Lily Wise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jun 13th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740249317 NPPES
Virginia Other 540261840 TRICARE
Virginia Other 010142105 TRICARE
Virginia MEDICAID 010142105 TRICARE
Virginia Other 7988480003 TRICARE
Virginia Other 260216 TRICARE
Virginia Other P00233742 TRICARE
Virginia Other 176102 TRICARE
Virginia Other 2131900 TRICARE
Virginia Other 94928 TRICARE
Virginia Other 176102 TRICARE
Virginia Other 540261840 TRICARE

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