Provider Demographics
NPI:1730277336
Name:MORRIS, LILLIAN RACHEL (MD)
Entity type:Individual
Prefix:DR
First Name:LILLIAN
Middle Name:RACHEL
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1245 16TH ST
Mailing Address - Street 2:#300
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-1235
Mailing Address - Country:US
Mailing Address - Phone:310-453-6767
Mailing Address - Fax:310-828-3704
Practice Address - Street 1:11060 WAGNER ST
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4240
Practice Address - Country:US
Practice Address - Phone:310-428-5826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA068587207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI43162Medicare UPIN