Individual
JOHN LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 E GRAND AVE, ESCONDIDO, CA 92025-4402
(760) 745-1551
Mailing address
625 E GRAND AVE, ESCONDIDO, CA 92025-4402
(760) 745-1551
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A24559
CA
Other
Enumeration date
04/17/2006
Last updated
06/18/2012
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