Individual
MRS. BROOKE REGISTER LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6500 CREEDMOOR RD., RALEIGH, NC 27613
(919) 825-4000
(919) 803-3601
Mailing address
6500 CREEDMOOR RD., RALEIGH, NC 27613
(919) 825-4000
(919) 803-3601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02181
NC
363AM0700X
Medical Physician Assistant
0010-02181
NC
Other
Enumeration date
03/18/2010
Last updated
05/10/2021
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