John D. Lilly DO

NPI 1699816298 - Family Medicine - 207Q00000X

NPI Details
NPI 1699816298
Gender Male
Enumeration Date 02/08/2007
Last Updated 05/02/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
2730 E SUNSHINE ST
SPRINGFIELD MO, 65804-2047, US
Phone (417) 883-0600
Fax (417) 883-9443
Business Location
PO BOX 2580
SPRINGFIELD MO, 65801-2580, US
Phone (417) 829-4620
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number 113004
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According to our database, Dr. John D. Lilly DO NPI is 1699816298, taxonomy code is 207Q00000X and license number is 113004, license state is located at Missouri. John D. Lilly DO physically located at 2730 E Sunshine St, Springfield MO, 65804-2047. NPI Number John D. Lilly DO has the Individual type.

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1699816298 NPI number is provided on an as is basis without warranty of any kind. 1699816298 is maintained by the National Plan & Provider Enumeration System. The contents of John D. Lilly DO are for informational purposes only.