Individual
MICHAEL A LILEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
107 ROYAL BIRKDALE DR, SUITE A, COLUMBIANA, OH 44408-8493
(330) 482-9350
(330) 482-5695
Mailing address
107 ROYAL BIRKDALE DR, SUITE A, COLUMBIANA, OH 44408-8493
(330) 482-9350
(330) 482-5695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-004325
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0778985
—
OH
Enumeration date
06/30/2005
Last updated
03/16/2011
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