Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LARRY LEE LILLEY III, NNP
Active Sole ProprietorNeonatal Intensive Care Nurse · VINTON, VA
Registration Details
- NPI Number
- 1700100146
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2010 (16.104839345568 yrs)
- Last Updated
- Mar 14, 2010
- License
-
0001190201 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
627 ARAGONA DRVINTON, VA, 241792807Browse VA providers · Browse ZIP 24179
- Phone
- 5403421004
- Primary Specialty
-
Neonatal Intensive Care Nurse
163WN0002X
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.