Individual
MARI LYNN LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 MOUNTAIN CREEK RD, SUITE 200, CHATTANOOGA, TN 37405-4501
(423) 870-0036
(423) 870-0706
Mailing address
901 MOUNTAIN CREEK RD, SUITE 200, CHATTANOOGA, TN 37405-4501
(423) 870-0036
(423) 870-0706
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD013353
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085717
BLUE CROSS BLUE SHEILD
TN
Enumeration date
07/17/2006
Last updated
07/08/2007
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