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1124191838
RANDALL KENNETH LILLICH
HOUMA, LA
NPI
1124191838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA 014665)
Enumeration Date
2006-11-17
Last Update Date
2007-07-08
Business Address
Dr. RANDALL KENNETH LILLICH MD
8166 MAIN ST
HOUMA, LA 70360-3404
Phone number: 800-456-9121
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Mailing Address
Dr. RANDALL KENNETH LILLICH MD
5 BOURG CT
HARAHAN, LA 70123-4422
Phone number: 504-738-5851
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