Individual
DR. EDWARD R. LILLY RAYMOND LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
916 GREENBRIER DR., HINTON, WV 25951-9744
(304) 466-3696
Mailing address
RR 1 BOX 300, HINTON, WV 25951-9744
(304) 466-3696
(304) 466-3696
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
265
WV
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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