Provider Demographics
NPI:1821525122
Name:LIKEN, HILLARY BLAIR (MD)
Entity type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:BLAIR
Last Name:LIKEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 TONSLER DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-2300
Mailing Address - Country:US
Mailing Address - Phone:706-340-1716
Mailing Address - Fax:
Practice Address - Street 1:4709 CREEKSTONE DR STE 300
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-0016
Practice Address - Country:US
Practice Address - Phone:919-613-0413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2020-02636208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics