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Individual

MARSHA C. LILLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS/RD/LDN

Contact information

Practice address
2101 RANGECREST RD, RALEIGH, NC 27612-6922
(919) 848-8402
Mailing address
2101 RANGECREST RD, RALEIGH, NC 27612-6922
(919) 848-8402

Taxonomy

Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
L000032
NC

Other

Enumeration date
08/13/2007
Last updated
08/13/2007
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