Provider Demographics
NPI:1700654951
Name:DEMPSEY, LILY R (PA-C)
Entity Type:Individual
Prefix:
First Name:LILY
Middle Name:R
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:693 GRAND RAPIDS BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120-4466
Mailing Address - Country:US
Mailing Address - Phone:630-373-7713
Mailing Address - Fax:
Practice Address - Street 1:1865 VETERANS PARK DR STE 101
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0447
Practice Address - Country:US
Practice Address - Phone:239-427-4513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant