# TIGER LILY COLLECTIVE LLC

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

## Provider details

- **NPI number:** 1497580948
- **Authorized official:** ZOE BRAUN (OWNER)
- **Authorized official phone:** (414) 246-7101

## Contact information

- **Practice address:** 10631 W LINCOLN AVE \# 105, WEST ALLIS, WI 53227-1240
- **Practice address phone:** (414) 246-7101
- **Mailing address:** 1575 S MOORLAND RD APT 208, NEW BERLIN, WI 53151-1566
- **Mailing address phone:** (414) 246-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | — | NULL | Yes |
| 246Z00000X | Other Specialist/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2024
- **Last updated:** 09/04/2024