MEDICARE: DR. KATHARINE RECHEN LILLIE 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	207Q00000X	Family Medicine Physician	D0053244	MD

General Provider Information

NPI Number	:	1245472083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHARINE RECHEN LILLIE M.D.

Provider Business Mailing Address
First Line	:	CDER FDA
Second Line	:	10903 NEW HAMPSHIRE AVE
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0001
Country	:	US
Telephone Number	:	301-796-1112
Fax Number	:	301-796-9841

Provider Business Practice Location Address
First Line	:	CDER FDA
Second Line	:	10903 NEW HAMPSHIRE AVE
City	:	SILVER SPRING
State	:	MD
Zip	:	20993-0001
Country	:	US
Telephone Number	:	301-796-1112
Fax Number	:	301-796-9841

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

Provider Enumeration Date	:	03/25/2009
Last Update Date	:	03/25/2009

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