Individual
DONALD CREIGHTON LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1400 E MAIN ST, LOUISVILLE, OH 44641-1912
(330) 280-2385
Mailing address
1400 E MAIN ST, LOUISVILLE, OH 44641-1912
(330) 280-2385
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
328871
OH
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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