AUSTIN D LILLY

BECKLEY, WV
NPI1609299312
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy347C00000X Private Vehicle
(Licence: WV  f072423)
Enumeration Date2014-01-31
Last Update Date2014-01-31
Business Address
Mr. AUSTIN D LILLY
118 PEBBLESTONE DR
BECKLEY, WV 25801-9524
Phone number: 304-237-4836
Mailing Address
Mr. AUSTIN D LILLY
118 PEBBLESTONE DR
BECKLEY, WV 25801-9524
Phone number: 304-237-4836