Individual
MS. INA J. LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 DONALD DR., GREENVILLE, OH 45331
(937) 548-6295
Mailing address
1001 DONALD DR., GREENVILLE, OH 45331
(937) 548-6295
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-041175
OH
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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