Individual
LILY R BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4209 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 426-9855
(812) 858-4536
Mailing address
4209 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 426-9855
(812) 858-4536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005210A
IN
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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