Devaraj, Lily Rose

Devaraj, Lily Rose is an sole proprietor health care provider with primary practice located at 55 Fruit St , Boston MA 02114. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Devaraj, Lily Rose can be contacted via phone (617) 643-2401.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114
Phone: (617) 643-2401
Fax: (617) 724-3947
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125065920 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125065920 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 274250 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 274250 Massachusetts

Profile Details

NPI number 1295153021
LBN Legal business name Devaraj, Lily Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2014
Last updated Jul 23rd, 2023 - about 2 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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