Keith D Lillemoe

NPI #1215982467 in Indianapolis, Indiana

Provider Information

NPI Number: 1215982467
Entity Type: Individual
Name: Keith D Lillemoe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Enumeration Date: May 24, 2006
Last Updated: Jun 16, 2011

Practice Location

Address: 545 BARNHILL DR
Address 2: EM 523
City: Indianapolis
State: Indiana
ZIP Code: 46202-5112
Phone: (317) 274-3086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Surgery	208600000X	Primary

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