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1164589677
LILLY S LA PORTA
PHILADELPHIA, PA
NPI
1164589677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA MT188134)
Enumeration Date
2007-01-03
Last Update Date
2010-08-17
Business Address
-- LILLY S LA PORTA MD
3440 MARKET ST FLOOR 2 BEHAVIORAL HEALTH CENTER
PHILADELPHIA, PA 19104-3325
Phone number: 215-590-7296
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Mailing Address
-- LILLY S LA PORTA MD
3440 MARKET ST FLOOR 2 BEHAVIORAL HEALTH CENTER
PHILADELPHIA, PA 19104-3325
Phone number: 215-590-7296
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