Individual
DR. LILLY M GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 HOULTON ROAD, DANFORTH, ME 04424
(207) 448-2347
(207) 448-2313
Mailing address
201 HOULTON ROAD, DANFORTH, ME 04424
(207) 448-2347
(207) 448-2313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
179977
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104590000
—
ME
Enumeration date
10/04/2006
Last updated
12/24/2008
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