NPI 1104952043
Loren Edgar Lilly, RRT
Practice location
- Address
- 6343 East Main Street Suite 8, Mesa, AZ 85205
- Phone
- (480) 325-8838
- Mailing address
- 4119 East Juanita Ave., Higley, AZ 85236
Registered specialties
Pulmonary Rehabilitation Registered Respiratory Therapist
Primary
Registry record
- NPI
- 1104952043
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Feb 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.