Individual
FELECIA NICOLE LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2725 LINCOLN ST E, CANTON, OH 44707-2769
(330) 454-2000
Mailing address
2725 LINCOLN ST E, CANTON, OH 44707-2769
(330) 454-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005149RX
OH
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236502
—
OH
Enumeration date
07/28/2017
Last updated
11/11/2024
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