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NPI Code Detail

MEDICARE: LILIAN NNENNA UGWU

MEDICARE: LILIAN NNENNA UGWU
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1639008915
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIAN NNENNA UGWU
Provider Business Mailing Address
First Line : 1500 S DOUGLAS RD STE 230
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-4108
Country : US
Telephone Number : 844-244-1818
Fax Number :
Provider Business Practice Location Address
First Line : 19540 AMARANTH DR
Second Line :
City : GERMANTOWN
State : MD
Zip : 20874-1202
Country : US
Telephone Number : 810-730-7891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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Directions to “ LILIAN NNENNA UGWU ” Practice Location

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