Provider Demographics
NPI:1255884185
Name:HOFFMAN, LILY (PA-C)
Entity type:Individual
Prefix:
First Name:LILY
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PA-C
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:PO BOX 36
Mailing Address - Street 2:127 E. MAIN ST.
Mailing Address - City:REBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16872-0036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:532 W PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2239
Practice Address - Country:US
Practice Address - Phone:724-832-4646
Practice Address - Fax:724-832-4668
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical