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NPI Code Detail

MEDICARE: LAUREN LILLY

MEDICARE: LAUREN LILLY
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
1363A00000XPhysician AssistantPA19795TX

General Provider Information

NPI Number : 1740908821
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN LILLY
Provider Business Mailing Address
First Line : PO BOX 845347
Second Line :
City : DALLAS
State : TX
Zip : 75284-7208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6201 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-5202
Country : US
Telephone Number : 214-645-3597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2022
Last Update Date : 02/16/2026

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Directions to “ LAUREN LILLY ” Practice Location

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