Individual
NOEL ARTHUR LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. A.T.,C.
Contact information
Practice address
200 TRACY WAY, CHARLESTON, WV 25311-1258
(304) 388-4900
(304) 388-4910
Mailing address
38 PAHLHURST CT, PARKERSBURG, WV 26101-7625
(304) 863-5810
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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