Individual
KATHRYN A LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8939
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41934-020
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
41934-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104872670
—
WI
Enumeration date
05/26/2006
Last updated
12/08/2020
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