Randall Kenneth Lillich, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

014665 Issued in LA

Practice address

8166 Main St
Houma, LA 70360-3404

Phone

(800) 456-9121

Fax

(214) 712-2487

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael E Isabelle MD Apmc

  • Emergency Medicine Physician
  • Houma, LA
  • NPI 1083883474
  NPD (past)
• Terrebonne Parish Hospital Service District #1

  • Anesthesiology Physician
  • Houma, LA
  • NPI 1740248129
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124191838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BOURG CT",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701234422",
            "telephone_number": "504-738-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8166 MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603404",
            "telephone_number": "800-456-9121",
            "fax_number": "214-712-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLICH",
        "first_name": "RANDALL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "014665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Renee Lewis
• Teamaya Reshawn Lewis
• Life Coast Community Health Center Inc
• Life Coast Community Health Center Inc
• Lifted by Love
• Stephen C Lim, M.D.
• Angelo Ocampo Limcangco, BS
• Hector A Linares-Magana, MD
• Lincare Inc
• Alaina Aimee Lirette

• Emergency Medicine Physician in Houma, LA
• Providers in Houma, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.