NPI 1609299312

Austin D Lilly

Practitioner Private Vehicle Beckley, WV

Practice location

Address: 118 Pebblestone Dr, Beckley, WV 25801-9524
Phone: (304) 237-4836

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence F072423 (WV)

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Registry record

NPI: 1609299312
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2014
Record last updated: 31 Jan 2014

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.