Provider Demographics
NPI:1245472083
Name:LILLIE, KATHARINE RECHEN (MD)
Entity type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:RECHEN
Last Name:LILLIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CDER FDA
Mailing Address - Street 2:10903 NEW HAMPSHIRE AVE
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20993-0001
Mailing Address - Country:US
Mailing Address - Phone:301-796-1112
Mailing Address - Fax:301-796-9841
Practice Address - Street 1:CDER FDA
Practice Address - Street 2:10903 NEW HAMPSHIRE AVE
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20993-0001
Practice Address - Country:US
Practice Address - Phone:301-796-1112
Practice Address - Fax:301-796-9841
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0053244207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine