Provider Demographics
NPI:1225919376
Name:DR. LILIA DEBORJA
Entity type:Organization
Organization Name:DR. LILIA DEBORJA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBORJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-456-9551
Mailing Address - Street 1:4200 EDMONDSON AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-1614
Mailing Address - Country:US
Mailing Address - Phone:410-624-0037
Mailing Address - Fax:410-947-2794
Practice Address - Street 1:4200 EDMONDSON AVE STE 204
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-1614
Practice Address - Country:US
Practice Address - Phone:410-624-0037
Practice Address - Fax:410-947-2794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty