Lily K Laij, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19.018531 Issued in IL

Practice address

1521 Wabash Ave
Mattoon, IL 61938-3977

Phone

(217) 235-5496

Fax

(217) 234-6956

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518176049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 WABASH AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619383977",
            "telephone_number": "217-235-5496",
            "fax_number": "217-234-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 WABASH AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619383977",
            "telephone_number": "217-235-5496",
            "fax_number": "217-234-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIJ",
        "first_name": "LILY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19.018531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Catherine Kuhns, PHARM.D.
• Gaylin Lack, M.D.
• Haylie Nicole Lading, DPT
• Joanna Laffey, RDH PHDH
• Khin W Laij, D.D.S.
• Lakewood Senior Living of Mattoon LLC
• Batlagundu S Lakshminarayanan, MD
• Michael Lamonto, D.O.
• Toni Lampe, APRN
• Rachel T Lape, MD

• General Practice Dentistry in Mattoon, IL
• Providers in Mattoon, IL by specialty
• General Practice Dentistry in Illinois

• 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.