# LILIVY POSTPARTUM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154019305
- **Authorized official:** DR. STEPHANIE SUBLETT MD (CEO)
- **Authorized official phone:** (260) 829-4262

## Contact information

- **Practice address:** 921 E DUPONT RD STE 252, FORT WAYNE, IN 46825-1551
- **Practice address phone:** (260) 829-4262
- **Mailing address:** 921 E DUPONT RD STE 252, FORT WAYNE, IN 46825-1551
- **Mailing address phone:** (260) 829-4262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2023
- **Last updated:** 04/26/2023