National Provider Identifier Database

JAMES S LILLICH, MD – NPI #1619969342
Foot and Ankle Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.


Contact Information

JAMES S LILLICH, MD
1500 LINE AVENUE
STE 100
SHREVEPORT, LA71101
Phone: 318-635-3052
Fax: 318-632-6087
Website:
Specialty Taxonomy Code
* Foot and Ankle Surgery 207XX0004X

* Indicates primary specialty

NPI Profile & details for JAMES S LILLICH

NPI Number 1619969342
Credentials MD
Entity Individual
Enumeration date 08/18/2005
Last updated 07/31/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • LA License #: 015579
  • LA License #: 15579
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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