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JOEL D. LILLY, M.D., P.S.

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Company Details

Legal Name: JOEL D. LILLY, M.D., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 5th 1992
Date of Dissolution: July 1st 2014
Expiration date: 31 Mar 2014
UBI Number: 601 373 295

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Registered Agent Information

Name Role Address
DL SERVICES INC Registered Agent 701 5TH AVE # 6100, SEATTLE, WA, 98104-7043, UNITED STATES

Key Officers & Management

Name Role
JOEL LILLY Governing Person

National Provider Identifier

NPI Number:
1154667863

Authorized Person:

Name:
DR. JOEL D LILLY
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2066232436
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