JOHN WAYNE LILLY

BECKLEY, WV
NPI1346510716
Other NameJOHN WAYNE LILLY
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WV  64742)
Enumeration Date2012-01-03
Last Update Date2014-06-13
Business Address
Mr. JOHN WAYNE LILLY APRN, FNP-BC
330 N. EISENHOWER DR.
BECKLEY, WV 25801-3140
Phone number: 304-929-0786
Mailing Address
Mr. JOHN WAYNE LILLY APRN, FNP-BC
330 N EISENHOWER DR
BECKLEY, WV 25801-4141
Phone number: 304-929-0786