LILY PARK, D.O.

Dermatology

Active Individual
NPI: 1124333455

Practice Address

600 COFFEE RD
Modesto, CA 95355

Phone: (209) 521-6097

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X No DO184048 (OR)
Hospitalist 208M00000X No 20A12765 (CA)
Dermatology 207N00000X Yes 12765 (CA)

Frequently Asked Questions

NPI 1124333455 is the National Provider Identifier for LILY PARK, D.O., a Dermatology provider located in Modesto, CA. This NPI was enumerated on August 11, 2010.
LILY PARK, D.O. practices at 600 COFFEE RD, Modesto, CA 95355.

Quick Facts

NPI
1124333455
Type
Individual
Enumerated
Aug 11, 2010
Last Updated
Aug 8, 2024