Provider Demographics
NPI:1841343019
Name:DAY, LILA M (MD)
Entity type:Individual
Prefix:
First Name:LILA
Middle Name:M
Last Name:DAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3920 W TAPPS DR E
Mailing Address - Street 2:
Mailing Address - City:LAKE TAPPS
Mailing Address - State:WA
Mailing Address - Zip Code:98391-9176
Mailing Address - Country:US
Mailing Address - Phone:253-862-8001
Mailing Address - Fax:253-826-4792
Practice Address - Street 1:3920 W TAPPS DR E
Practice Address - Street 2:
Practice Address - City:LAKE TAPPS
Practice Address - State:WA
Practice Address - Zip Code:98391-9176
Practice Address - Country:US
Practice Address - Phone:253-862-8001
Practice Address - Fax:253-826-4792
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00036049207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8229841Medicaid
WA8229841Medicaid
WAG70314Medicare UPIN