Individual
MR. DONALD PATRICK LILAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065334
NCCPA CERTIFICATE NUMBER
MI
Enumeration date
05/19/2006
Last updated
01/03/2022
Update your record
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