Individual
MRS. LILY E KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
404 HUTTLESTON AVE, FAIRHAVEN, MA 02719
(508) 996-9333
(508) 996-3443
Mailing address
404 HUTTLESTON AVE, FAIRHAVEN, MA 02719
(508) 996-9333
(508) 996-3443
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36346
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023008
—
MA
05
—
9785302
—
MA
Enumeration date
06/27/2006
Last updated
01/23/2013
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