Individual
NATHANIAL CLIFFORD LILYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
714 W PINE ST, NEWPORT, WA 99156
(509) 447-2441
(509) 447-0456
Mailing address
714 W PINE ST, NEWPORT, WA 99156-9046
(509) 447-2441
(509) 447-0456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP60494291
WA
207Q00000X
Family Medicine Physician
OP60494291
WA
Other
Enumeration date
05/30/2013
Last updated
11/08/2019
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