Individual
MRS. MELISSA LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1880 AMHERST ST STE 300, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-8000
Mailing address
1870 AMHERST ST STE 2B, WINCHESTER, VA 22601-2841
(540) 536-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1070140
CERTIFICATION NATIONAL CO
—
01
—
503394
ANTHEM
KY
Enumeration date
09/13/2006
Last updated
09/16/2021
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