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Individual

DR. ROBERT A LILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(765) 284-7738
(765) 213-3713
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(765) 284-7738

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01038052A
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
01038052A
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
H4837
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000087009
ANTHEM PIN
IN
05
100341100
IN
01
200018973
RAILROAD MEDICARE
IN
Enumeration date
08/01/2006
Last updated
12/11/2025
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