MEDICARE: MS. LIZZIE L JAMES NP

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	261Q00000X	Clinic/Center	R073903	MD

General Provider Information

NPI Number	:	1245524297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LIZZIE L JAMES NP

Provider Business Mailing Address
First Line	:	2300 HOLLY SPRING DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20905-6403
Country	:	US
Telephone Number	:	301-807-0198
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 BRIGGS CHANEY RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-4811
Country	:	US
Telephone Number	:	301-847-1172
Fax Number	:

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

Provider Enumeration Date	:	06/07/2011
Last Update Date	:	06/07/2011

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