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NPI Code Detail

MEDICARE: MRS. LATOYA LILES-WALKER

MEDICARE:  MRS. LATOYA  LILES-WALKER
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
1224P00000XProsthetist
2224P00000XProsthetistDC
3335E00000XProsthetic/Orthotic Supplier
4332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1518577717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LATOYA LILES-WALKER
Provider Business Mailing Address
First Line : 4248 BENNING RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-4531
Country : US
Telephone Number : 202-498-1299
Fax Number :
Provider Business Practice Location Address
First Line : 4248 BENNING RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-4531
Country : US
Telephone Number : 202-748-5608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2020
Last Update Date : 02/07/2024

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Directions to “ MRS. LATOYA LILES-WALKER ” Practice Location

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