Lilly, Melissa Dawn

Lilly, Melissa Dawn is an individual health care provider with primary practice located at 122 12Th Street Ext , Princeton WV 24740-2352. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Lilly, Melissa Dawn can be contacted via phone (304) 487-7275.

Contact Information

Primary practice address
122 12Th Street Ext Princeton WV 24740-2352
Phone: (304) 487-7275
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 733 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 463 West Virginia

Profile Details

NPI number 1992971253
LBN Legal business name Lilly, Melissa Dawn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated Oct 20th, 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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