Lilley, Deena S
Lilley, Deena S is an individual health care provider with primary practice located at 2800 Blue Ridge Rd Ste 300 , Raleigh NC 27607-6476. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Lilley, Deena S can be contacted via phone (919) 784-7874.Contact Information
Primary practice address
2800 Blue Ridge Rd Ste 300
Raleigh NC 27607-6476
Phone: (919) 784-7874
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 5006971 | North Carolina |
Profile Details
| NPI number | 1568605657 |
|---|---|
| LBN Legal business name | Lilley, Deena S |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2009 |
| Last updated | Oct 19th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568605657 | NPPES |
| Louisiana | MEDICAID | 1567990 | |
| Louisiana | MEDICAID | 02477329 |
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