Provider Demographics
NPI:1932162187
Name:AWAR, LILLIAN R (CRNP-ADULT)
Entity type:Individual
Prefix:MRS
First Name:LILLIAN
Middle Name:R
Last Name:AWAR
Suffix:
Gender:F
Credentials:CRNP-ADULT
Other - Prefix:MRS
Other - First Name:LILLIAN
Other - Middle Name:R
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3110 N. ROLLING RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244
Mailing Address - Country:US
Mailing Address - Phone:410-298-1931
Mailing Address - Fax:410-298-1932
Practice Address - Street 1:3110 N. ROLLING RD
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244
Practice Address - Country:US
Practice Address - Phone:410-298-1931
Practice Address - Fax:410-298-1932
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR094180363LP2300X, 363LA2200X
MDAC000143363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD812035800Medicaid