Lilly, Mary L

Lilly, Mary L is an individual health care provider with primary practice located at 4715 Viewridge Ave , San Diego CA 92123-1658. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Lilly, Mary L can be contacted via phone (800) 257-8715.

Contact Information

Primary practice address
4715 Viewridge Ave San Diego CA 92123-1658
Phone: (800) 257-8715
Fax: (800) 819-1655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN169742 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 70000096A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 760860 Texas

Profile Details

NPI number 1821221920
LBN Legal business name Lilly, Mary L
Credentials PHD RN MS MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2009
Last updated Jun 2nd, 2017 - about 9 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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