Provider Demographics
NPI:1720594344
Name:LILIAN, TEMA
Entity Type:Individual
Prefix:
First Name:TEMA
Middle Name:
Last Name:LILIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17730 TOWNE CREST DR
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-3744
Mailing Address - Country:US
Mailing Address - Phone:240-715-7000
Mailing Address - Fax:
Practice Address - Street 1:17730 TOWNE CREST DR
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-3744
Practice Address - Country:US
Practice Address - Phone:240-715-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant