Provider Demographics
NPI:1821282799
Name:TILGHMAN, LILLA M (MD)
Entity Type:Individual
Prefix:DR
First Name:LILLA
Middle Name:M
Last Name:TILGHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:28 LYNWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WEST BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01583-1017
Mailing Address - Country:US
Mailing Address - Phone:508-835-3931
Mailing Address - Fax:508-764-2906
Practice Address - Street 1:4 CAROLINE ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-3810
Practice Address - Country:US
Practice Address - Phone:150-883-5393
Practice Address - Fax:508-764-2906
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2081222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry