Bayouth, Lilly Ann

Bayouth, Lilly Ann is an individual health care provider with primary practice located at 13685 Doctors Way Ste 100 , Fort Myers FL 33912-4337. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Bayouth, Lilly Ann can be contacted via phone (239) 343-1612.

Contact Information

Primary practice address
13685 Doctors Way Ste 100 Fort Myers FL 33912-4337
Phone: (239) 343-1612
Fax: (239) 343-4229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME163279 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X 2021-01560 North Carolina

Profile Details

NPI number 1053731133
LBN Legal business name Bayouth, Lilly Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2014
Last updated Sep 8th, 2023 - about last year

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 1053731133 NPPES
Florida MEDICAID 119174900

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