Lily A Black, MD
Family Medicine in Roslindale, Massachusetts
1609495514- Practice location
- 4199 Washington St, Roslindale, MA 02131-1733
- Phone
- 405-821-1155
- Fax
- —
- Last updated
- April 2, 2024
Lily Ann Black is a Family Medicine based in Roslindale, MA. Lily Ann Black practices in Roslindale, MA and has the professional credentials of MD. The NPI Number for Lily Ann Black is 1609495514 and holds a License No. 1016219 (MA). The current practice location address for Lily Ann Black is 4199 Washington St, Roslindale, MA 02131-1733 and can be reached out via phone at 405-821-1155.
Provider Profile Details
- NPI Number
- 1609495514
- Provider Name
- Lily Ann Black
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4199 Washington St, Roslindale, MA 02131-1733
- Phone Number
- 405-821-1155
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 10, 2020
- Last Update Date
- April 2, 2024
- Certification Date
- April 2, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4199 Washington St
Roslindale, MA 02131-1733 - City
- Roslindale
- State
- Massachusetts
- Zip
- 02131-1733
- Phone Number
- 405-821-1155
Provider Business Mailing Address Details
- Address
- 4199 Washington St
Roslindale, MA 02131-1733 - City
- Roslindale
- State
- MA
- Zip
- 02131-1733
- Phone Number
- 405-821-1155
License Information
- License Number
- 1016219
- License State
- MA
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Roslindale, MA
View all Family Medicine providers in Roslindale →- Alison T Presti, MDFamily Medicine · NPI 1366946071
- Colleen A Farrell, MDFamily Medicine · NPI 1497038129
- Dr. Camille N Singh, MDFamily Medicine · NPI 1053948927
- Dr. James C Salemis, DOFamily Medicine · NPI 1366569329
- Emily Regier, MDFamily Medicine · NPI 1548897028
- Jay MainthiaFamily Medicine · NPI 1306420781
Frequently Asked Questions
What is the NPI number of Lily A Black, MD?
The NPI number of Lily A Black, MD is 1609495514. It was assigned on April 10, 2020 and is currently active in the NPPES registry.
What is the specialty of Lily A Black, MD?
Lily A Black, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 1016219.
Where does Lily A Black, MD practice?
The practice location is 4199 Washington St, Roslindale, MA 02131-1733. The office can be reached at 405-821-1155 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609495514 directly on the NPPES registry website.