Provider Demographics
NPI:1942680707
Name:O'STEEN, LILLIE EMMELHAINZ (MD)
Entity type:Individual
Prefix:DR
First Name:LILLIE
Middle Name:EMMELHAINZ
Last Name:O'STEEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LILLIE
Other - Middle Name:CHRISTINE
Other - Last Name:EMMELHAINZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 746654
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6654
Mailing Address - Country:US
Mailing Address - Phone:904-202-2092
Mailing Address - Fax:904-376-4075
Practice Address - Street 1:1301 PALM AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8432
Practice Address - Country:US
Practice Address - Phone:904-202-7300
Practice Address - Fax:904-202-2754
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-05
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1442142085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology