Healthcare Provider Details

I. General information

NPI: 1538903125
Provider Name (Legal Business Name): LILLIAN JEAN FOLEY MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2024
Last Update Date: 10/07/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 & 207 PERRY PARKWAY
GAITHERSBURG MD
20877
US

IV. Provider business mailing address

205 & 207 PERRY PARKWAY
GAITHERSBURG MD
20877
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number0012
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: