person
Mr. Russell William Lilly, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Freemansburg, Pennsylvania
NPI 1639824063

Russell William Lilly is a Psychiatric/Mental Health Nurse Practitioner based in Freemansburg, PA and is specialized in Psychiatric/Mental Health. Russell William Lilly practices in Freemansburg, PA and has the professional credentials of PMHNP. The NPI Number for Russell William Lilly is 1639824063 and holds a License No. SP02014 (Pennsylvania).

The current practice location address for Russell William Lilly is 832 Kossuth St, Freemansburg, PA and can be reached out via phone at 610-704-1479.

Location: 832 Kossuth St, Freemansburg, PA, 18017-7117
person
Provider Profile Details
NPI Number
1639824063
Provider Name
Russell William Lilly
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
832 Kossuth St, Freemansburg, PA, 18017-7117
Phone Number
610-704-1479
Fax Number
Provider Enumeration Date
02/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
832 Kossuth St
City
State
Zip
18017-7117
Phone Number
610-704-1479
Fax Number
person
Provider Business Mailing Address Details
Address
832 Kossuth St
City
State
Zip
18017-7117
Phone Number
610-704-1479
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
SP02014 (Pennsylvania)
Definition
Definition to come...
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