DOUGLAS DEAN LILL RPH CCN NPI 1285964197

NPI Information

NPI: 1285964197
Provider Name: DOUGLAS DEAN LILL, RPH, CCN
Classification: Pharmacist - 1835N1003X
Entity Type: Individual

Specialization: Nutrition Support

Address:
430 RANDOLPH ST NW
WASHINGTON, DC
ZIP 20011
Phone: (512) 426-2894
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Douglas Dean Lill, RPH, CCN is a nutrition support pharmacist in Washington, DC. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. Douglas Dean Lill, RPH, CCN NPI is 1285964197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

430 RANDOLPH ST NW
WASHINGTON, DC
ZIP 20011-940
Phone: (512) 426-2894

The enumeration date for this NPI number is 12/28/2009 and was last updated on 12/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835N1003X	Pharmacist	Nutrition Support	30711	TEXAS	No
2	1835N1003X	Pharmacist	Nutrition Support	29RI03240500	NEW JERSEY	No
3	1835N1003X	Pharmacist	Nutrition Support	19342	MARYLAND	No
4	1835N1003X	Pharmacist	Nutrition Support	RP442622	PENNSYLVANIA	No
5	1835N1003X	Pharmacist	Nutrition Support	053358-1	NEW YORK	No
6	1835N1003X	Pharmacist	Nutrition Support	PH00000655	DISTRICT OF COLUMBIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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