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Contact Information

LILY E KHOURY, MD
404 HUTTLESTON AVE
FAIRHAVEN, MA02719
 Phone: 508-996-9333
 Fax: 508-996-3443
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LILY E KHOURY · (Female)

NPI # 1225065121
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2006
Last updated 01/23/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 36346
  • MA Medicaid 2023008
  • MA Medicaid 9785302
Hospital affiliation(s) Not Available
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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