Provider Demographics
NPI:1649048216
Name:DURIAS, LILY BELL
Entity type:Individual
Prefix:
First Name:LILY
Middle Name:BELL
Last Name:DURIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 DAYFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-1408
Mailing Address - Country:US
Mailing Address - Phone:804-868-5066
Mailing Address - Fax:
Practice Address - Street 1:710 NASHVILLE PIKE STE 103
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-4592
Practice Address - Country:US
Practice Address - Phone:615-471-8673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30873363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner