Lilley, Mary D

Lilley, Mary D is an individual health care provider with primary practice located at 950 Campbell Ave , West Haven CT 06516-2770. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Lilley, Mary D can be contacted via phone (203) 932-5711.

Contact Information

Primary practice address
950 Campbell Ave West Haven CT 06516-2770
Phone: (203) 932-5711
Fax: (203) 937-3457
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R44024 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 000513 Connecticut

Profile Details

NPI number 1699739979
LBN Legal business name Lilley, Mary D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 13th, 2011 - 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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