Otolorin, Lily O
Otolorin, Lily O is an individual health care provider with primary practice located at 2337 Kew Gardens Dr , Woodbridge VA 22191-6577. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Otolorin, Lily O can be contacted via phone (646) 593-6787.Contact Information
Primary practice address
2337 Kew Gardens Dr
Woodbridge VA 22191-6577
Phone: (646) 593-6787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 53928 | Wisconsin |
Profile Details
| NPI number | 1922323435 |
|---|---|
| LBN Legal business name | Otolorin, Lily O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2010 |
| Last updated | Dec 6th, 2016 - about 8 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 | 1922323435 | NPPES |
| Wisconsin | Other | 53928 | WI STATE LIC |
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