SearchWest Virginia347C00000X

Austin Lilly

NPI 1609299312 · on the registry since 2014 · sole proprietor

Practice

Address
118 Pebblestone Dr
Beckley, WV 25801
Phone
(304) 237-4836
Organisation at this address
Hdk Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
347C00000X
347C00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-01-31

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 West Virginia