Individual
LAURA SUSAN LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL52849
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
104505
GA
208000000X
Pediatrics Physician
LL52849
SC
2080P0202X
Pediatric Cardiology Physician
104505
GA
Other
Enumeration date
06/23/2018
Last updated
07/01/2026
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