Provider Demographics
NPI:1477582328
Name:LILIE, STEVEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:LILIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 SOUTH FRONT ST
Mailing Address - Street 2:SUITE 2F
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1621
Mailing Address - Country:US
Mailing Address - Phone:717-231-8772
Mailing Address - Fax:717-231-8435
Practice Address - Street 1:111 S FRONT ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101-2010
Practice Address - Country:US
Practice Address - Phone:717-231-8772
Practice Address - Fax:717-231-8435
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD048484L208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA439767OtherHIGHMARK BLUE SHIELD
PA50082036OtherCAPITAL BLUE CROSS-WMG GH
MD547346OtherCAREFIRST MD BCBS
MD019995800Medicaid
PA7734479OtherAETNA
PA01095003OtherCAPITAL BLUE CROSS-WMG
PA2161248OtherMAMSI-WMG
PA57435OtherGEISINGER
PA032628OtherJOHNS HOPKINS
PA80910OtherUNISON-WMG
PA001657207Medicaid
PA20090442OtherAMERIHEALTH MERCY-WMG
PA30131822OtherAMERIHEALTH MERCY - WMG
PAP002894OtherGATEWAY-WMG
PA000472EZ3Medicare PIN
PA000472Medicare PIN
PAF60424Medicare UPIN
PA110153974Medicare PIN