Individual
JOSEPHINE K LILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3508 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 776-5704
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01062334A
IN
Other
Enumeration date
09/06/2006
Last updated
11/27/2023
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