Individual
JOHN RICHARD LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5804 BALTIMORE AVE, HYATTSVILLE, MD 20781-1623
(301) 927-7800
(301) 927-0375
Mailing address
5804 BALTIMORE AVE, HYATTSVILLE, MD 20781-1623
(301) 927-7800
(301) 927-0375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D09357
MD
Other
Enumeration date
08/24/2005
Last updated
02/22/2016
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