MR. Russell William Lilly, PMHNP
NPI #1639824063 in Freemansburg, Pennsylvania
Provider Information
- NPI Number
- 1639824063
- Entity Type
- Individual
- Name
- MR. Russell William Lilly, PMHNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP
- Enumeration Date
- Feb 15, 2022
- Last Updated
- Apr 30, 2024
Practice Location
- Address
- 832 KOSSUTH ST
- City
- Freemansburg
- State
- Pennsylvania
- ZIP Code
- 18017-7117
- Phone
- (610) 704-1479
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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