Individual
MRS. ROSE MARIE LILLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
30 HOLLOWAY DR, HAMPTON, VA 23666-5695
(757) 314-7715
(757) 314-7703
Mailing address
30 HOLLOWAY DR, HAMPTON, VA 23666-5695
(757) 262-0268
(757) 314-7703
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1101452
FL
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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