Organization
RYAN J LILLY MD PLLC
Active
Other names
Ryan J Lilly Md PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN LILLY (OWNER)
(989) 330-1064
Entity
Organization
Contact information
Practice address
2890 HEALTH PKWY, MT PLEASANT, MI 48858-6931
(989) 330-1064
Mailing address
2890 HEALTH PKWY, MT PLEASANT, MI 48858-6931
(989) 330-1064
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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