Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRESTON LILLY
Active Sole ProprietorPRESTON LILLY is a Community Health Worker healthcare provider located in CLEARFORK, West Virginia. NPI 1063091155 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · CLEARFORK, WV
Registration Details
- NPI Number
- 1063091155
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2021 (5.2132064103575 yrs)
- Last Updated
- Apr 6, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 HAY CREST AVECLEARFORK, WV, 24822Browse WV providers · Browse ZIP 24822
- Phone
- 3049238543
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.