Provider Demographics
NPI:1952537854
Name:LILIE, LEA ARELL (RPH)
Entity type:Individual
Prefix:
First Name:LEA
Middle Name:ARELL
Last Name:LILIE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 SADELIA PL
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-9377
Mailing Address - Country:US
Mailing Address - Phone:919-609-6877
Mailing Address - Fax:484-423-1083
Practice Address - Street 1:4300 FAYETTEVILLE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-3610
Practice Address - Country:US
Practice Address - Phone:919-609-6877
Practice Address - Fax:484-423-1083
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17451183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist