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Dr. Carianne Nicole Lilly, DPM
Podiatrist in Mishawaka, Indiana
NPI 1952450926

Carianne Nicole Lilly is a Podiatrist based in Mishawaka, IN. Carianne Nicole Lilly practices in Mishawaka, IN and has the professional credentials of DPM. The NPI Number for Carianne Nicole Lilly is 1952450926 and holds a License No. 016005276 (Indiana).

The current practice location address for Carianne Nicole Lilly is 1540 Trinity Pl, Mishawaka, IN and can be reached out via phone at 574-272-9000.

Location: 1540 Trinity Pl, Mishawaka, IN, 46545-5006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952450926
Provider Name
Carianne Nicole Lilly
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1540 Trinity Pl, Mishawaka, IN, 46545-5006
Phone Number
574-272-9000
Fax Number
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1540 Trinity Pl
City
Mishawaka
State
Indiana
Zip
46545-5006
Phone Number
574-272-9000
Fax Number
person
Provider Business Mailing Address Details
Address
1540 Trinity Pl
City
Mishawaka
State
Indiana
Zip
46545-5006
Phone Number
574-272-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
()
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
016005276 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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