Individual
DR. BRAD H LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3131 COLLEGE HEIGHTS BLVD, SUITE 1500, ALLENTOWN, PA 18104-4812
(610) 821-0444
(610) 820-7006
Mailing address
3131 COLLEGE HEIGHTS BLVD, SUITE 1500, ALLENTOWN, PA 18104-4812
(610) 821-0444
(610) 820-7006
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004243L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013746
HIGHMARK BLUE SHIELD
PA
01
—
0659158000
INDEPENCE BLUE CROSS
—
01
—
50003290
CAPITAL BLUE CROSS
—
Enumeration date
08/24/2006
Last updated
11/17/2009
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