MEDICARE: DR. LILIAN LEANYUY

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R219253	MD
2	363LP2300X	Primary Care Nurse Practitioner	R219253	MD

General Provider Information

NPI Number	:	1477809937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LILIAN LEANYUY

Provider Business Mailing Address
First Line	:	4301 NORTHVIEW DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-2600
Country	:	US
Telephone Number	:	877-707-7790
Fax Number	:	877-775-7757

Provider Business Practice Location Address
First Line	:	4301 NORTHVIEW DR
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-2600
Country	:	US
Telephone Number	:	877-707-7790
Fax Number	:

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

Provider Enumeration Date	:	08/01/2012
Last Update Date	:	02/17/2023

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Directions to “ DR. LILIAN LEANYUY ” Practice Location

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