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Individual
LILY AVGUSTOVSKIY
Active
Individual
LILY AVGUSTOVSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
102646
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18904
APN
TN
Enumeration date
07/18/2014
Last updated
09/13/2021
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