Individual provider · Type 1 NPI

Lily Kathleen Wolf, MD

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1669054086 Active

Practice location

635 Barnhill Drive, Van Nuys Medical Science Building 116
Indianapolis, IN 46202-5126

Mailing address

2401 W University Ave
Muncie, IN 47303-3428

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 1669054086

Lily Kathleen Wolf, MD's National Provider Identifier is 1669054086, issued on Apr 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 20, 2022.