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Individual

SOMA I LILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 382-1681
Mailing address
2200 NE NEFF RD STE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 382-1681

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35088020
OH
174400000X
Specialist
Primary
MD27332
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD27332
LICENSE
OR
Enumeration date
07/06/2006
Last updated
03/04/2025
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