Lillie, Michael John
Lillie, Michael John is an individual health care provider with primary practice located at 101 E Valencia Mesa Dr , Fullerton CA 92835-3809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lillie, Michael John can be contacted via phone (714) 871-3280.Contact Information
Primary practice address
101 E Valencia Mesa Dr
Fullerton CA 92835-3809
Phone: (714) 871-3280
Fax: (714) 447-6490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G63391 | California |
Profile Details
| NPI number | 1740231927 |
|---|---|
| LBN Legal business name | Lillie, Michael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2006 |
| Last updated | Feb 19th, 2015 - about 11 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 | 1740231927 | NPPES |
| California | MEDICAID | 00G633910 |
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