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Individual

MR. THOMAS JOSHUA LILLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPAM, MED, PA-C, ATC

Contact information

Practice address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8517
(434) 485-8594
Mailing address
PO BOR 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 968-1803

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126001826
VA
363A00000X
Physician Assistant
Primary
0110008846
VA
363A00000X
Physician Assistant
029349
NY

Other

Enumeration date
02/09/2015
Last updated
07/16/2026
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