Individual
MISS LILA MERRILY FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.M.
Contact information
Practice address
200 RD TO GREAT NECK, WEST TISBURY, MA 02575-0106
(508) 939-0404
(508) 693-5685
Mailing address
PO BOX 106, WEST TISBURY, MA 02575-0106
(508) 939-0404
(508) 693-5685
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
10110005
TN
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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