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Individual
MRS. NINA DANTZLER LILLARD
Active
Individual
MRS. NINA DANTZLER LILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHCNS-BC
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
99155
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6004039
—
NC
Enumeration date
02/22/2009
Last updated
06/24/2010
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