Individual
ELIZABETH LILLMARS-STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
783 CRESCENT WOODS DR, VALLEY PARK, MO 63088-1328
(314) 412-4253
Mailing address
783 CRESCENT WOODS DR, VALLEY PARK, MO 63088-1328
(314) 412-4253
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013025091
MO
363LF0000X
Family Nurse Practitioner
Primary
F07181374
MO
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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