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Search › Missouri › 183500000X

Ryan Lilly

NPI 1356705917 · on the registry since 2016 · sole proprietor

Practice

Address
2340 Hampton Ave
Saint Louis, MO 63139
Phone
(314) 647-1256
Organisation at this address
Walgreen Co
Southampton Healthcare Inc
Southampton Community Healthcare Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Additional practice sites

  • 9330 Lenard Ct, Saint Louis, MO
  • 2301 Holmes St, Kansas City, MO

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
390200000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-24

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 Missouri