Park, Lily

Park, Lily is an individual health care provider with primary practice located at 600 Coffee Rd , Modesto CA 95355-4201. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Park, Lily can be contacted via phone (209) 521-6097.

Contact Information

Primary practice address
600 Coffee Rd Modesto CA 95355-4201
Phone: (209) 521-6097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A12765 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101018747 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO184048 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 20A12765 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 12765 California

Profile Details

NPI number 1124333455
LBN Legal business name Park, Lily
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2010
Last updated Aug 8th, 2024 - 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.

Request for update

Popular Providers