Individual
MICHELE R LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
177 MIDDLETOWN RD, STE1, UPC WHITEHALL MEDICAL, FAIRMONT, WV 26554
(304) 366-6600
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
(800) 541-4009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
84107
WV
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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