Organization
LILLY EYE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE BLAKE LILLY MD (PRESIDENT)
(304) 523-3937
Entity
Organization
Contact information
Practice address
2823 3RD AVE, HUNTINGTON, WV 25702-1423
(304) 523-3937
(304) 523-3945
Mailing address
2823 3RD AVE, HUNTINGTON, WV 25702-1423
(304) 523-3937
(304) 523-3945
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
WV17041
WV
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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