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General NPI Number Information
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NPI Number | 1366499758
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Entity Type | Individual
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Provider Name | LILIANE MIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 2360 MARYLAND RD
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1709
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Country | US
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Telephone | 215-657-6776
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Fax |
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Provider Business Mailing Address
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Address Line | 825 OLD LANCASTER RD SUITE 320
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City | BRYN MAWR
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State | PA
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Zip | 19010-3231
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Country | US
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Telephone | 610-527-3800
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Fax | 610-527-0334
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD420576
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License Number State | PA
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