Individual
ELIZABETH LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 EDDY ST, PROVIDENCE, RI 02905
(401) 533-9100
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RN53339
RI
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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