Lillian Marie Cardona, M.D.
Individual provider Active NPI Family Medicine Physician · Germantown, MD
NPI 1215920178 · NPPES record last updated Aug 9, 2011
Key facts
- NPI
- 1215920178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D46930 (MD)
- Practice address
- 19735 Germantown Rd
Suite 100
Germantown, MD 20874-1214 - Phone
- (301) 917-6513
- Fax
- (301) 917-6501
- NPI assigned
- Aug 25, 2005
- Reactivated
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D46930 | MD | Yes |
Addresses
Primary practice location
19735 Germantown Rd
Suite 100
Germantown, MD 20874-1214
Mailing address
19735 Germantown Rd
Suite 100
Germantown, MD 20874-1214
Phone (301) 917-6513
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229471100 | Medicaid | MD | |
| D46930 | Other | MD | STATE LICENSE |
Other providers in Germantown, MD
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- Capital Women'S Care, L.L.C.
- Capital Women'S Care, L.L.C.
- Capitol Anesthesia Associates, LTD
- Jordan Alan Caplan
- Suzanne Carducci
- Care 4U, LLC
- Caring Health Services Inc
- Julie Diana Carmen
- Mandy R Carpency-Schlosburg
All providers in Germantown, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.