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LORETTA LILLY
NPI 1497795967
Specialist in Jonesboro, AR

Active since June 06, 2006
1835 GRANT AVE, JONESBORO, AR 72401(870) 974-9114 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Loretta Lilly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORETTA LILLY (NPI 1497795967) is an individual specialist in Jonesboro, Arkansas, licensed in Arkansas (OTA213) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1497795967
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLORETTA LILLY
Location Address1835 GRANT AVEJonesboro, AR 72401-6155
Mailing Address1835 Grant AveJonesboro, AR 72401-6155 · (870) 974-9114
Phone(870) 974-9114
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1497795967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · OTA213
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1835 GRANT AVE, Jonesboro, AR 72401
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Other Identifiers 1

Medicaid138317721AR

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIDSPOT JONESBORO, INC.
Speech-Language Pathologist
1835 GRANT AVE
JONESBORO, AR 72401
Craighead County (870) 974-9114
FAIZA CHAUDHRY M.D.
Internal Medicine
1835 GRANT AVE
JONESBORO, AR 72401
Craighead County (870) 934-5102
LESLIE JACKSON
Specialist
1835 GRANT AVE
JONESBORO, AR 72401
Craighead County (870) 974-9114
CHARLENE DUNNAM CF-SLP
Speech-Language Pathologist
1835 GRANT AVE
JONESBORO, AR 72401
Craighead County (870) 974-9114
LAUREN DANIELLE LESLIE MS CCC-SLP
Speech-Language Pathologist
1835 GRANT AVE
JONESBORO, AR 72401
Craighead County (870) 974-9114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loretta Lilly's NPI number?

The NPI number for Loretta Lilly is 1497795967. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Loretta Lilly located?

Loretta Lilly practices at 1835 Grant Ave, Jonesboro, AR 72401. The listed phone number is (870) 974-9114.

What is Loretta Lilly's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Loretta Lilly was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.