Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLEN NEAL LILLY II, PA-C
ActiveMR. GLEN NEAL LILLY II, PA-C is a Physician Assistant healthcare provider located in HOLLYWOOD, Maryland. NPI 1275935934 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HOLLYWOOD, MD
Registration Details
- NPI Number
- 1275935934
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 24, 2014 (11.741930474657 yrs)
- Last Updated
- Jan 2, 2025
- Licenses
-
C0009583 (MD)TL2189 (SC)
Practice Information
- Address
-
24035 THREE NOTCH RDHOLLYWOOD, MD, 206364871Browse MD providers · Browse ZIP 20636
- Phone
- 3013737100
- Fax
- 3013736100
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in HOLLYWOOD, MD
| Name | Credential | NPI |
|---|---|---|
| MRS. HANNA KRISTINA DENNIS | PA-C | 1831406883 |
| RACHEL LEANNE BILO | PA-C | 1497398093 |
| DORA HELGA OROSZ | PA-C | 1043916927 |
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.