# LILLY ANN BAYOUTH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053731133
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 2021-01560 | NC | — |
| 2086S0127X | Trauma Surgery Physician | ME163279 | FL | Yes |

## Other

- **Enumeration date:** 04/16/2014
- **Last updated:** 09/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 119174900 | — | FL |