Lou, Lily J

Lou, Lily J is an individual health care provider with primary practice located at 3340 Providence Dr Suite 366, Anchorage AK 99508-4616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Lou, Lily J can be contacted via phone (907) 563-3026.

Contact Information

Primary practice address
3340 Providence Dr Suite 366 Anchorage AK 99508-4616
Fax: (907) 562-6445
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 4888 Alaska

Profile Details

NPI number 1326099656
LBN Legal business name Lou, Lily J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jul 9th, 2007 - about 18 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 1326099656 NPPES
Alaska MEDICAID MD4756

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