Individual
MRS. LAURA ELAINE LILLICH
Active
Individual
MRS. LAURA ELAINE LILLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
135074
MO
163W00000X
Registered Nurse
137352
NC
163W00000X
Registered Nurse
18647
AK
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
14-86886-092
KS
Other
Enumeration date
11/29/2008
Last updated
11/29/2008
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