MR. Austin D Lilly

NPI #1609299312 in Beckley, West Virginia

Provider Information

NPI Number: 1609299312
Entity Type: Individual
Name: MR. Austin D Lilly
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Jan 31, 2014
Last Updated: Jan 31, 2014

Practice Location

Address: 118 PEBBLESTONE DR
City: Beckley
State: West Virginia
ZIP Code: 25801-9524
Phone: (304) 237-4836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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