Lillian Carla Shores in Wilmington - Physician Assistant
Lillian Carla Shores - NPI 1073538245
Lillian Carla Shores is a Physician Assistant in Wilmington, North Carolina. Lillian Carla Shores practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lillian Carla Shores is 1073538245. The last update date is 2015-08-03.
Lillian Carla Shores's current location address is 1202 Medical Center Dr, Wilmington, North Carolina. You can contact this provider via phone number 9103413300 and fax number 9102512067. The mailing address for Lillian Carla Shores is 1202 Medical Center Dr, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lillian Carla Shores |
|---|---|
| Address | 1202 Medical Center Dr, Wilmington, North Carolina |
| Phone Number | 9103413300 |
| Fax Number | 9102512067 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1073538245 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2015-08-03 |
Provider Mailing Address Detail
| Address | 1202 Medical Center Dr |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284017307 |
| Phone Number | 9103413300 |
| Fax Number | 9102512067 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0010-03216 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1073538245 | NC | -- |
Post Comment/ Review Below
What is the Lillian Carla Shores's unique identification number?
The Lillian Carla Shores has been assigned the NPI (National Provider Identifier) Number 1073538245 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Lillian Carla Shores's facilities are geographically located?
The facilities of Lillian Carla Shores are physically situated at the following location: 1202 Medical Center Dr, Wilmington, NC, 284017307.
What is the Lillian Carla Shores's area of specialization and corresponding taxonomy classification?
The Lillian Carla Shores's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1073538245 assigned to Lillian Carla Shores?
The Lillian Carla Shores was issued its 1073538245 on 2006-07-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Lillian Carla Shores most recently updated or revised?
The details related to Lillian Carla Shores, including its address, specialty, and other relevant information, were last updated or revised on 2015-08-03.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY