Individual
MELVIN E LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
744 SHENANGO RD STE 1, BEAVER FALLS, PA 15010-7111
(724) 846-2020
Mailing address
744 SHENANGO RD STE 1, BEAVER FALLS, PA 15010-7111
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000487
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7030745
—
PA
Enumeration date
02/13/2006
Last updated
06/22/2018
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