DR. Theodore J Lilly, M.D.

NPI #1154307932 in Burleson, Texas

Provider Information

NPI Number: 1154307932
Entity Type: Individual
Name: DR. Theodore J Lilly, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Dec 22, 2005
Last Updated: Sep 2, 2008

Practice Location

Address: 434 S.W. WILSHIRE
City: Burleson
State: Texas
ZIP Code: 76028-5330
Phone: (817) 447-1208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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