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NPI Code Detail

MEDICARE: PAIGE ELIZABETH LILLEY

MEDICARE: PAIGE ELIZABETH LILLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1972443620
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE ELIZABETH LILLEY
Provider Business Mailing Address
First Line : 640 DOVER ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21230-2228
Country : US
Telephone Number : 540-769-0680
Fax Number :
Provider Business Practice Location Address
First Line : 4348 ELECTRIC RD
Second Line :
City : ROANOKE
State : VA
Zip : 24018-0720
Country : US
Telephone Number : 540-769-0680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2026
Last Update Date : 03/31/2026

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Directions to “ PAIGE ELIZABETH LILLEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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