Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LILY PARK, D.O.
ActiveLILY PARK, D.O. is a Dermatology healthcare provider located in MODESTO, California. NPI 1124333455 is currently active in the NPPES registry. Verify at CMS.
Dermatology · MODESTO, CA
Registration Details
- NPI Number
- 1124333455
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2010 (15.824188271446 yrs)
- Last Updated
- Aug 8, 2024
- Licenses
-
20A12765 (CA)5101018747 (MI)DO184048 (OR)20A12765 (CA)12765 (CA)
Practice Information
- Address
-
600 COFFEE RDMODESTO, CA, 953554201Browse CA providers · Browse ZIP 95355
- Phone
- 2095216097
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Hospitalist
- Additional Specialty
- Dermatology
Other Dermatology Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. CATHERINE A BIREN | M.D. | 1124021035 |
| THOMAS LATHROP HALL | MD | 1770570814 |
| MARCUS GEORGE CONNELLY | MD | 1295703577 |
| THOMAS G SALOPEK | MD | 1114983210 |
| MICHAEL K ZANG | M.D. | 1528026358 |
| GARY WAGNER | M.D. | 1235160102 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.