Lilly, Michael Brian

Lilly, Michael Brian is an individual health care provider with primary practice located at 39 Sabin Street 725 Walton Bldg, Charleston SC 29425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Lilly, Michael Brian can be contacted via phone (843) 792-0592.

Contact Information

Primary practice address
39 Sabin Street 725 Walton Bldg Charleston SC 29425
Phone: (843) 792-0592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X AL34690 South Carolina
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X G84932 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 34690 South Carolina

Profile Details

NPI number 1033147186
LBN Legal business name Lilly, Michael Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Mar 2nd, 2022 - about 3 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 1033147186 NPPES
California MEDICAID 00G849320

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