Organization
CHARLES J LILLY MD PC
Active
Organization
CHARLES J LILLY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J LILLY MD (DOCTOR)
(989) 772-3886
Entity
Organization
Contact information
Practice address
2890 HEALTH PARKWAY, MOUNT PLEASANT, MI 48858
(989) 772-3886
(989) 773-6267
Mailing address
2890 HEALTH PARKWAY, MOUNT PLEASANT, MI 48858
(989) 772-3886
(989) 773-6267
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301048544
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0370822
BLUE CROSS BLUE SHIELD
MI
05
—
1644906
—
MI
Enumeration date
08/01/2007
Last updated
09/30/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up