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Individual

DR. MEGHAN ALLEGRA LILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
451 CLARKSON AVE, RM B-3304, BROOKLYN, NY 11203-2054
(718) 245-2682
Mailing address
249 19TH ST, APT 2B, BROOKLYN, NY 11215-5480
(304) 860-0832

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
86207
GA
208600000X
Surgery Physician
MT202861
WV
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/20/2012
Last updated
11/09/2020
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