Lillian Kathleen Waller, MD

Pediatrics Physician · Springfield, VA

Individual Active NPI

NPI number 1578146502

Practice location

8316 Traford Ln
Springfield, VA 22152-1654
Phone
(703) 569-8400
Fax
(703) 569-1182

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NPI record

NPI
1578146502
Entity type
Individual (Type 1)
Enumeration date
April 28, 2021
Last updated
July 1, 2024
Certified
July 1, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 0101281506 VA

Other practice locations (1)

  • 4001 Fair Ridge Dr Ste 301, Fairfax, VA 22033-2917 · (703) 569-8400

About Dr. Waller

Lillian Kathleen Waller, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 8316 Traford Ln, Springfield, VA 22152-1654. The NPI number 1578146502 was assigned on April 28, 2021 and the record was last updated on July 1, 2024.

Dr. Waller lists a license in the registry: #0101281506 (VA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lillian Kathleen Waller, MD?

The NPI number is 1578146502.

What is the phone number of Dr. Waller?

The phone number listed for the practice location is (703) 569-8400.

Where is Dr. Waller located?

8316 Traford Ln, Springfield, VA 22152-1654.

What is the taxonomy code for Dr. Waller?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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