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Individual
ANDREA LILLEY
Active
Individual
ANDREA LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, CDCES
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
21420118
NY
133NN1002X
Nutrition Education Nutritionist
Primary
21420118
NY
163W00000X
Registered Nurse
514219
NY
163WD0400X
Diabetes Educator Registered Nurse
21420118
NY
Other
Enumeration date
12/23/2015
Last updated
10/03/2026
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