Lilly, Alice J

Lilly, Alice J is an individual health care provider with primary practice located at 761 Old Norcross Rd , Lawrenceville GA 30046-4317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Lilly, Alice J can be contacted via phone (770) 513-4000.

Contact Information

Primary practice address
761 Old Norcross Rd Lawrenceville GA 30046-4317
Phone: (770) 513-4000
Fax: (770) 995-3495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN092698 Georgia

Profile Details

NPI number 1831243849
LBN Legal business name Lilly, Alice J
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jan 31st, 2012 - about 14 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 1831243849 NPPES
Georgia MEDICAID 00843752B
Georgia Other 000843752B
Georgia Other 00843752B

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