Individual provider · Type 1 NPI

Theresa Lynn Wilson, PA-C

Medical Physician Assistant · Lanham, MD

NPI number 1376899351 Active

Practice location

8118 Good Luck Rd
Lanham, MD 20706-3574

Call (301) 552-8118 Map

Mailing address

122 Lafayette Ave
Laurel, MD 20707-4512

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0001801 (MD)

Medical Physician Assistant: Definition to come...

177 other providers at this address

Other medical physician assistant providers in Lanham

See all in Lanham →

About NPI 1376899351

Theresa Lynn Wilson, PA-C's National Provider Identifier is 1376899351, issued on Jul 27, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lanham, MD. The record was last updated on Sep 4, 2012.