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NPI Profile for LARRY L LILLEY III in VINTON, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal Intensive Care |
163WN0002X |
| NPI Number | 1700100146 |
|
| Status | Active | |
| Credentials | NNP | |
| Entity | Individual | |
| Enumeration date | 03/14/2010 | |
| Last updated | 03/14/2010 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LARRY L LILLEY III
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LARRY L LILLEY III, NNP