Lilian Ifeyinwa Agwumezie, FNP
Individual provider Active NPI Family Medicine Physician · Clinton, MD
NPI 1972471019 · NPPES record last updated Oct 29, 2025
Key facts
- NPI
- 1972471019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2025026242 (MD)
- Practice address
- 7700 Old Branch Ave Ste B201
Clinton, MD 20735-1605 - Phone
- (301) 289-7722
- Fax
- (202) 618-6201
- NPI assigned
- Oct 29, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025026242 | MD | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2025026242 | MD | Yes |
Addresses
Primary practice location
7700 Old Branch Ave Ste B201
Clinton, MD 20735-1605
Mailing address
1519 Kingshill St
Bowie, MD 20721-2036
Phone (301) 556-8267
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All providers in Clinton, 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 Oct 29, 2025. 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.