Individual
DR. DEACON LILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4735 OGLETOWN STANTON RD STE 3301, NEWARK, DE 19713-7021
(302) 623-4370
(302) 623-4375
Mailing address
1008 S SPRING AVE STE 1600, SAINT LOUIS, MO 63110-2520
(215) 707-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C1-0027227
DE
208600000X
Surgery Physician
MT206082
PA
2086S0102X
Surgical Critical Care Physician
C1-0027227
DE
Other
Enumeration date
05/27/2014
Last updated
09/16/2024
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