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Individual
NANCY L.M. LILLIOTT
Active
Individual
NANCY L.M. LILLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP11643
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92056B009
CHAMPUS
CA
Enumeration date
03/21/2006
Last updated
10/30/2007
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