Khoury, Lily E

Khoury, Lily E is an individual health care provider with primary practice located at 404 Huttleston Ave , Fairhaven MA 02719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khoury, Lily E can be contacted via phone (508) 996-9333.

Contact Information

Primary practice address
404 Huttleston Ave Fairhaven MA 02719
Fax: (508) 996-3443
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36346 Massachusetts

Profile Details

NPI number 1225065121
LBN Legal business name Khoury, Lily E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jan 23rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225065121 NPPES
Massachusetts MEDICAID 9785302
Massachusetts MEDICAID 2023008

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