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Glen Lilly, PA-C
NPI 1275935934 · on the registry since 2014
Practice
- Address
- 24035 Three Notch Rd
Hollywood, MD 20636 - Phone
- (301) 373-7100
- Fax
- (301) 373-6100
- Organisation at this address
- Vpk Shah Rx Llc
Secure Sedation Llc
Shah Associates Md Pa
Shah Associates Md Llc
Shah Associates Md LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 55
Additional practice sites
- 10 Saint Patricks Dr, Waldorf, MD
- 4301 Dick Pond Rd, Myrtle Beach, SC
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- SC, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland