Derek James Lillestolen, DO
Internal Medicine in Allentown, PA. Individual provider (NPI-1).
NPI number1245915917
StatusActive
Last updated in NPPESJun 20, 2023
Details
- NPI
- 1245915917
- Entity type
- Individual (NPI-1)
- Name
- Derek James Lillestolen
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2023
- Certification date
- Jun 20, 2023
- Last updated
- Jun 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | OT022767 | PA | Yes |
Practice location
1200 S Cedar Crest BlvdAllentown, PA 18103-6202
Phone 484-862-3200
Mailing address
1607 Lehigh Pkwy E Apt 414Allentown, PA 18103-3061
Phone 860-392-8620
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