Organization
LILL FAMILY MEDICINE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN R LILL D.O. (PRESIDENT)
(913) 310-9711
Entity
Organization
Contact information
Practice address
15325 W 95TH ST, LENEXA, KS 66219-1262
(913) 310-9711
Mailing address
15325 W 95TH ST, LENEXA, KS 66219-1262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-25763
KS
Other
Enumeration date
03/26/2007
Last updated
08/22/2020
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