MR. LOREN EDGAR LILLY


Address: 6343 East Main Street, Suite 8, Mesa, AZ 85205
Phone: 4803258838

MR. LOREN EDGAR LILLY (NPI# 1104952043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104952043
Entity Type Individual
Full Name MR. LOREN EDGAR LILLY
Credential RRT
Practice Address 6343 East Main Street
Suite 8
Mesa
AZ 85205
Mailing Address 4119 East Juanita Ave.
Higley
AZ 85236
Practice Telephone 4803258838
Mailing Telephone 4802921328
Enumeration Date 2007-02-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2279P1005X Respiratory Therapist, Registered
Specialization: Pulmonary Rehabilitation
1759 AZ Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 6343 EAST MAIN STREET
SUITE 8
City MESA
State AZ
Zip Code 85205

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Taxonomy Information

Taxonomy Code 2279P1005X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Respiratory Therapist, Registered
Specialization Pulmonary Rehabilitation

Taxonomy Definition

The respiratory therapist can assist the chronic pulmonary patient in returning to an optimal role in society by providing an effective program. It includes bronchopulmonary drainage, exercise therapy, and patient education.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780873257 Jerry Thomas Respiratory Therapist, Registered 4644 E Fort Lowell Rd, Tucson, AZ 85712-1111 2007-10-19

Competitor

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City MESA
Zip Code 85205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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