Individual
WILLIAM B LILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
312 GRAMMONT STREET, SUITE 303, MONROE, LA 71201
(318) 398-2984
(318) 398-2413
Mailing address
312 GRAMMONT STREET, SUITE 303, MONROE, LA 71201
(318) 398-2984
(318) 398-2413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
202468
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079294
—
LA
Enumeration date
05/23/2007
Last updated
03/24/2022
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