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1487653978
MICHAEL CHARLES LILLY
LYNCHBURG, VA
NPI
1487653978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: VA 0101236058)
Enumeration Date
2005-07-18
Last Update Date
2022-08-04
Business Address
MICHAEL CHARLES LILLY MD
1906 THOMSON DR
LYNCHBURG, VA 24501-1009
Phone number: 434-200-3933
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Mailing Address
MICHAEL CHARLES LILLY MD
102 FAIRLEA CT
LYNCHBURG, VA 24503-2163
Phone number:
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