Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES S LILLICH, MD
ActiveJAMES S LILLICH, MD is a Sports Medicine (Orthopaedic) healthcare provider located in SHREVEPORT, Louisiana. NPI 1619969342 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · SHREVEPORT, LA
Registration Details
- NPI Number
- 1619969342
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (21.034635258996 yrs)
- Last Updated
- Jul 31, 2020
- Licenses
-
15579 (LA)015579 (LA)
Practice Information
- Address
-
1500 LINE AVENUESTE 100SHREVEPORT, LA, 71101Browse LA providers · Browse ZIP 71101
- Phone
- 3186353052
- Fax
- 3186326087
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Other Sports Medicine (Orthopaedic) Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN V. MARYMONT | MD | 1801976212 |
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.