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General NPI Number Information
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NPI Number | 1023765856
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Entity Type | Individual
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Provider Name | LILLIAN ANNE LYMAN
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Gender | Female
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 300 MCHENRY RD
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City | WHEELING
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State | IL
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Zip | 60090-2696
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Country | US
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Telephone | 847-243-9252
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Fax |
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Provider Business Mailing Address
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Address Line | 507 N 17TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-2104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085.009089
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085009089
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License Number State | IL
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