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1245915917
DEREK JAMES LILLESTOLEN
ALLENTOWN, PA
NPI
1245915917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA OT022767)
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
DEREK JAMES LILLESTOLEN DO
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103-6202
Phone number: 484-862-3200
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Mailing Address
DEREK JAMES LILLESTOLEN DO
1607 LEHIGH PKWY E APT 414
ALLENTOWN, PA 18103-3061
Phone number: 860-392-8620
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