Doctor Name: | DR. LILY IKEMDI NWAKA-ORAEGBU |
NPI Number: | 1922189778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | D0064039 |
Business Practice Address: | 55 Wade Avenue Spring Grove Hospital Catonsville, MD - 21228 |
Business Phone Number: | 4104026000 |
Business Fax Number: | 4104027094 |
Mailing Address: | 8901 Finchley Lane, Apt 5 LAUREL |
State: | MD |
Postal Code: | 20708 |
Phone Number: | 3014904367 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0064039 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |