Individual provider · Type 1 NPI

Lily Nicole Rubin-Black, MD, MPH

Student in an Organized Health Care Education/Training Program · Charlotte, NC

NPI number 1215739818 Active

Practice location

1350 S Kings Dr
Charlotte, NC 28207-2134

Call (704) 446-1544 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215739818

Lily Nicole Rubin-Black, MD, MPH's National Provider Identifier is 1215739818, issued on Mar 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 22, 2025.