Individual
RASHAD W LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1503 EMERALD LAKE CIR APT 103, ELIZABETH CITY, NC 27909-3144
(757) 706-1208
Mailing address
1503 EMERALD LAKE CIR APT 103, ELIZABETH CITY, NC 27909-3144
(757) 706-1208
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
92373
NC
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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