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Organization
LILLY CARE LLC
Active
Organization
LILLY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNETTE PUSEY (OWNER)
(505) 930-0369
Entity
Organization
Contact information
Practice address
909 COUNTRY CLUB DR SE APT G, RIO RANCHO, NM 87124-2205
(505) 930-0369
Mailing address
909 COUNTRY CLUB DR SE APT G, RIO RANCHO, NM 87124-2205
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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