Individual provider · Type 1 NPI

Glen Neal Lilly Ii, PA-C

Physician Assistant · Hollywood, MD

NPI number 1275935934 Active

Practice location

24035 Three Notch Road
Hollywood, MD 20636-4871

Call (301) 373-7100 Map

Fax (301) 373-6100

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871

Other practice locations

  • 10 St. Patrick's Drive, Waldorf, MD 20603-4572 · (301) 705-7870
  • 4301 Dick Pond Rd, Myrtle Beach, SC 29588-6807 · (843) 652-8100

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XTL2189 (SC)
Physician Assistant Primary 363A00000XC0009583 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1275935934

Glen Neal Lilly Ii, PA-C's National Provider Identifier is 1275935934, issued on Sep 24, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hollywood, MD. The record was last updated on Aug 19, 2026.