Provider Demographics
NPI:1073210647
Name:LILLY, SARAH (PA)
Entity Type:Individual
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First Name:SARAH
Middle Name:
Last Name:LILLY
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Gender:F
Credentials:PA
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Mailing Address - Street 1:6315 RANCH DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-4623
Mailing Address - Country:US
Mailing Address - Phone:501-410-1196
Mailing Address - Fax:501-410-1148
Practice Address - Street 1:1300 CENTERVIEW DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4349
Practice Address - Country:US
Practice Address - Phone:501-219-8900
Practice Address - Fax:501-410-1148
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant