Individual
LILLIAS HOLMES MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 4TH FLOOR SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 662-2078
(215) 615-0471
Mailing address
3400 SPRUCE STREET, 4TH FLOOR SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 662-2078
(215) 615-0471
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD475304
PA
208C00000X
Colon & Rectal Surgery Physician
4301111770
MI
208C00000X
Colon & Rectal Surgery Physician
Primary
MD475304
PA
Other
Enumeration date
06/26/2008
Last updated
11/02/2021
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