Individual
MR. JAMES ROBERT LILLARD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
JCT. U.S. HWY. 160 & NAVAJO ROUTE 35, RED MESA, AZ 86514
(928) 656-5000
Mailing address
HC 61 BOX 30, TEEC NOS POS, AZ 86514
(928) 656-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.389733
OH
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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