Individual
MS. NANCY LAURA LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7455 MCCONNELL RD, ROANOKE, VA 24019-3241
(540) 366-6729
(540) 265-7083
Mailing address
7455 MCCONNELL RD, ROANOKE, VA 24019-3241
(540) 366-6729
(540) 265-7083
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
0102036988
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
286206
ANTHEM BCBS
—
Enumeration date
05/17/2007
Last updated
07/08/2007
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