Individual
DONNA K LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7200 E INDIANA ST, EVANSVILLE, IN 47715-2753
(812) 476-7200
(812) 471-4514
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002502A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342135
ANTHEM PIN
IN
Enumeration date
06/16/2006
Last updated
12/01/2010
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