Individual
JOEL D LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 MINOR AVE, SUITE 200, SEATTLE, WA 98104-2120
(206) 215-2580
(206) 215-2581
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00027366
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00117168
MEDICARE RAILROAD
WA
Enumeration date
02/09/2006
Last updated
03/28/2016
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