Individual
MR. LOREN EDGAR LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
6343 EAST MAIN STREET, SUITE 8, MESA, AZ 85205
(480) 325-8838
Mailing address
4119 EAST JUANITA AVE., HIGLEY, AZ 85236
(480) 292-1328
Taxonomy
Speciality
Code
Description
License number
State
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
Primary
1759
AZ
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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