Search › California › 207N00000X
Lily Park, D.O
NPI 1124333455 · on the registry since 2010
Practice
- Address
- 600 Coffee Rd
Modesto, CA 95355 - Phone
- (209) 521-6097
- Organisation at this address
- Sutter Gould Medical Foundation
Sutter Valley Medical Foundation
Sutter Valley Medical FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 297
Additional practice sites
- 375 Se Norton Ln Ste C, Mcminnville, OR
- 600 Coffee Rd, Modesto, CA
- 1390 Waverly Dr Se, Albany, OR
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 207R00000X
207R00000X
207R00000X
208M00000X - Licence states on file
- CA, MI, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California