JAMES S. LILLICH MD – NPI #1619969342
Orthopaedic Surgery

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

JAMES LILLICH is an orthopaedic surgeon located in SHREVEPORT, LA. NPPES has assigned the NPI number 1619969342 to JAMES LILLICH on August 18, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207XX0004X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Foot and Ankle Surgery

The NPI profile was previously updated about 6 years ago on Jul 31, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAMES LILLICH below.

NPI Profile for
JAMES S. LILLICH

NPI Number
1619969342
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAMES S. LILLICH
Credentials
MD
Primary location
1500 LINE AVENUE
STE 100
SHREVEPORT, LA 71101
Phone: (318) 635-3052 Fax: (318) 632-6087
Mailing address
1534 ELIZABETH AVE STE 301
SHREVEPORT, LA 71101-4531
Phone: (318) 629-5001 Fax: (318) 629-5020
Sole Proprietor
No
Updated
Certification Date
Jul 31, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207XX0004X
- Orthopaedic Surgery / Foot and Ankle Surgery (Primary)
LA 15579

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.