Provider Demographics
NPI:1598095887
Name:HUGHES, LILY E (PA)
Entity Type:Individual
Prefix:MS
First Name:LILY
Middle Name:E
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:568 RAVEN DR.
Mailing Address - City:HOONAH
Mailing Address - State:AK
Mailing Address - Zip Code:99829-0103
Mailing Address - Country:US
Mailing Address - Phone:907-945-3235
Mailing Address - Fax:907-945-3239
Practice Address - Street 1:568 RAVEN DR.
Practice Address - Street 2:
Practice Address - City:HOONAH
Practice Address - State:AK
Practice Address - Zip Code:99829
Practice Address - Country:US
Practice Address - Phone:907-945-3235
Practice Address - Fax:907-945-3239
Is Sole Proprietor?:No
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AKPENDING363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical