NPI Details
Lily C Wang, M.D., PHD is a pediatric urology urology in South Portland, ME with 16 years of experience. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). Lily C Wang, M.D., PHD NPI is 1487979878. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2010
The provider's business location address is:
100 BRICKHILL AVE
SOUTH PORTLAND, ME
ZIP 04106-999
Phone: (207) 773-1728
The NPI 1487979878 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Prostate resection (HCPCS:NAN14)
The enumeration date for this NPI number is 3/29/2010 and was last updated on 9/12/2022.
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 | 2088P0231X | Urology | Pediatric Urology | A155662 | CALIFORNIA | No |
| 2 | 2088P0231X | Urology | Pediatric Urology | 155662 | CALIFORNIA | No |
| 3 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 4 | 2088P0231X | Urology | Pediatric Urology | MD26142 | MAINE | Yes |
