Provider Demographics
NPI:1962665042
Name:MORAN, LILI NELL (MD)
Entity Type:Individual
Prefix:DR
First Name:LILI
Middle Name:NELL
Last Name:MORAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LILI
Other - Middle Name:NELL
Other - Last Name:BANAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:111 MICHIGAN AVE, NW
Mailing Address - Street 2:
Mailing Address - City:WASAHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-476-4177
Mailing Address - Fax:
Practice Address - Street 1:111 MICHIGAN AVE NW
Practice Address - Street 2:CHILDREN'S NATIONAL MEDICAL CENTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2916
Practice Address - Country:US
Practice Address - Phone:202-476-4177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247452-12080P0204X
DCMD0397072080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine