GLEN NEAL LILLY

HOLLYWOOD, MD
NPI1275935934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0009583)
Additional Taxonomies363A00000X Physician Assistant
(Licence: SC  TL2189)
Enumeration Date2014-09-24
Last Update Date2025-01-02
Business Address
Mr. GLEN NEAL LILLY PA-C
24035 THREE NOTCH RD
HOLLYWOOD, MD 20636-4871
Phone number: 301-373-7100
Mailing Address
Mr. GLEN NEAL LILLY PA-C
PO BOX 640
HOLLYWOOD, MD 20636-0640
Phone number: 301-373-7100
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