Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAYMOND LILLY JR., M.D.
DeactivatedRAYMOND LILLY JR., M.D. is a Neurological Surgery healthcare provider located in PUEBLO, Colorado. NPI 1376541094 is deactivated in the NPPES registry. Verify at CMS.
Neurological Surgery · PUEBLO, CO
This NPI has been deactivated.
The record was deactivated on March 15, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1376541094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2005 (0.68767123287671 yrs)
- Last Updated
- Oct 12, 2012
- Deactivated
- Mar 15, 2006
- License
-
31336 (CO)
Practice Information
- Address
-
1600 N GRAND AVESTE 508PUEBLO, CO, 810032757Browse CO providers · Browse ZIP 81003
- Phone
- 7195957040
- Fax
- 7195957045
- Primary Specialty
-
Neurological Surgery
207T00000X
Other Neurological Surgery Providers in PUEBLO, CO
| Name | Credential | NPI |
|---|---|---|
| DEXTER D KOONS | M.D. | 1528068228 |
| DR. WILLIAM Y LU | M.D. | 1457300840 |
| ALI K MURAD | M.D | 1811103831 |
| CHRISTOPHER TRAUT | PA-C | 1407249188 |
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.