Whalio Doctors

NPI 1487979878

Lily C Wang, MDPHD

Practitioner Pediatric Urology Physician South Portland, ME

Practice location

Address
100 Brickhill Ave, South Portland, ME 04106-1999
Phone
(207) 773-1728

Registered specialties (4)

Pediatric Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2088P0231X Licence MD26142 (ME)
Pediatric Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 2088P0231X Licence A155662 (CA)
Pediatric Urology Physician
Allopathic & Osteopathic Physicians Taxonomy 2088P0231X Licence 155662 (CA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1487979878
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Mar 2010
Record last updated
12 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.