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Individual

MICHAEL PETER LILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
827 LINDEN AVE, BALTIMORE, MD 21201
(410) 225-8000
Mailing address
920 ELKRIDGE LANDING RD, LINTHICUM, MD 21090-2917
(443) 462-5010

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D37902
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
296881900
MD
Enumeration date
08/10/2005
Last updated
08/13/2018
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