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NPI 1972471019 · live from the CMS NPI Registry

Lilian Ifeyinwa Agwumezie, FNP

Family Medicine in Clinton, MD. National Provider Identifier 1972471019, active.

NPI record

NPI1972471019 Type 1 · individual
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location7700 Old Branch Ave Ste B201, Clinton, MD 20735
Practice phone301-289-7722
Mailing address1519 Kingshill St, Bowie, MD 20721
EnumeratedOctober 29, 2025
Last updatedOctober 29, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine primary207Q00000X2025026242 (MD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.