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1154307932
THEODORE J LILLY
BURLESON, TX
NPI
1154307932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX G9146)
Enumeration Date
2005-12-22
Last Update Date
2008-09-02
Business Address
Dr. THEODORE J LILLY M.D.
434 S.W. WILSHIRE
BURLESON, TX 76028-5330
Phone number: 817-447-1208
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Mailing Address
Dr. THEODORE J LILLY M.D.
434 S. W. WILSHIRE BLVD.
BURLESON, TX 76028-5330
Phone number: 817-447-1208
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