Organization
DR ROBERT LILLIE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER A LILLIE (OFFICE MANAGER)
(732) 787-4747
Entity
Organization
Contact information
Practice address
55 LEONARDVILLE RD, BELFORD, NJ 07718-1042
(732) 787-4747
(732) 495-9123
Mailing address
55 LEONARDVILLE RD, BELFORD, NJ 07718-1042
(732) 787-4747
(732) 495-9123
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD01309
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4696204
—
NJ
Enumeration date
06/19/2008
Last updated
06/04/2009
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