MR. Glen Neal Lilly II, PA-C

NPI #1275935934 in Hollywood, Maryland

Provider Information

NPI Number
1275935934
Entity Type
Individual
Name
MR. Glen Neal Lilly II, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Sep 24, 2014
Last Updated
Jan 2, 2025

Practice Location

Address
24035 THREE NOTCH RD
ZIP Code
20636-4871
Phone
(301) 373-7100

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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