Individual provider · Type 1 NPI

Melissa Dawn Lilly, PA-C

Medical Physician Assistant · Princeton, WV

NPI number 1992971253 Active

Practice location

122 12th Street Ext
Princeton, WV 24740-2352

Call (304) 487-7275 Map

Mailing address

112 12th St
Princeton, WV 24740-2312

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X733 (WV)
Medical Physician Assistant Primary 363AM0700X463 (WV)

Medical Physician Assistant: Definition to come...

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About NPI 1992971253

Melissa Dawn Lilly, PA-C's National Provider Identifier is 1992971253, issued on May 6, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Princeton, WV. The record was last updated on Oct 20, 2017.