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Organization
TIMOTHY J. LILLY, D.O. & ASSOC
Active
Organization
TIMOTHY J. LILLY, D.O. & ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J LILLY D.O. (OWNER)
(724) 615-9193
Entity
Organization
Contact information
Practice address
432 HILLCREST AVE, SUITE ONE, GROVE CITY, PA 16127-1730
(724) 615-9193
(724) 458-6689
Mailing address
432 HILLCREST AVE, SUITE ONE, GROVE CITY, PA 16127-1730
(724) 615-9193
(724) 458-6689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS006328L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011775800010
—
PA
Enumeration date
05/16/2007
Last updated
11/13/2007
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