Lily Park, D.O.
Dermatology · Modesto, CA
UnclaimedD.O.NPI 1124333455
- Primary taxonomy
- 207N00000X
- Enumerated
- 2010-08-11
- Practice location
- Modesto, CA
- Last NPPES update
- 2024-08-08
State licenses
- CA · Osteopathic physician · NPPES self-reportedListed on NPI record
- CA · Osteopathic physician · NPPES self-reportedListed on NPI record
- MI · Osteopathic physician · NPPES self-reportedListed on NPI record
- OR · Osteopathic physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.