Individual provider · Type 1 NPI

Lillie Marque Walker, PA-C

Medical Physician Assistant · Waldorf, MD

NPI number 1629147632 Active

Practice location

3460 Old Washington Rd, Suite 300
Waldorf, MD 20602-3240

Fax (301) 645-6812

Mailing address

11350 Mccormick Rd, Executive Plaza 1, Suite 501
Hunt Valley, MD 21031-1002

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0005644 (MD)

Medical Physician Assistant: Definition to come...

24 other providers at this address

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About NPI 1629147632

Lillie Marque Walker, PA-C's National Provider Identifier is 1629147632, issued on Nov 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waldorf, MD. The record was last updated on Feb 21, 2017.