MEDICARE: LILLIAN ROGERS HARRIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	2014-01660	NC

General Provider Information

NPI Number	:	1124311329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILLIAN ROGERS HARRIS MD

Provider Business Mailing Address
First Line	:	3100 DURALEIGH RD
Second Line	:	SUITE 300
City	:	RALEIGH
State	:	NC
Zip	:	27612-8106
Country	:	US
Telephone Number	:	919-781-7490
Fax Number	:	919-783-0903

Provider Business Practice Location Address
First Line	:	3100 DURALEIGH RD
Second Line	:	SUITE 300
City	:	RALEIGH
State	:	NC
Zip	:	27612-8106
Country	:	US
Telephone Number	:	919-781-7490
Fax Number	:	919-783-0903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2011
Last Update Date	:	02/12/2026

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