Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LOREN EDGAR LILLY, RRT
Active Sole ProprietorMR. LOREN EDGAR LILLY, RRT is a 2279P1005X healthcare provider located in MESA, Arizona. NPI 1104952043 is currently active in the NPPES registry. Verify at CMS.
2279P1005X · MESA, AZ
Registration Details
- NPI Number
- 1104952043
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2007 (19.446042691444 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1759 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6343 EAST MAIN STREETSUITE 8MESA, AZ, 85205Browse AZ providers · Browse ZIP 85205
- Phone
- 4803258838
- Primary Specialty
-
2279P1005X
2279P1005X
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.