MEDICARE: DR. LILAH FRAN MORRIS-WISEMAN M.D.

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	208600000X	Surgery Physician	A95689	CA
2	208600000X	Surgery Physician	47252	AZ
3	2086X0206X	Surgical Oncology Physician	P0768	TX
4	208600000X	Surgery Physician	D0092514	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8CZ275	OTHER	TX	BCBS (MDACC)

General Provider Information

NPI Number	:	1073768057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LILAH FRAN MORRIS-WISEMAN M.D.

Provider Business Mailing Address
First Line	:	6201 GREENLEIGH AVE
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-2004
Country	:	US
Telephone Number	:	410-550-0100
Fax Number	:	410-500-4266

Provider Business Practice Location Address
First Line	:	6130 N LA CHOLLA BLVD
Second Line	:	STE 210
City	:	TUCSON
State	:	AZ
Zip	:	85741-3574
Country	:	US
Telephone Number	:	520-797-6881
Fax Number	:

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

Provider Enumeration Date	:	11/18/2008
Last Update Date	:	11/10/2025

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Directions to “ DR. LILAH FRAN MORRIS-WISEMAN M.D.” Practice Location

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