Individual
LILY YANACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6360 W SAM HOUSTON PKWY N STE 200, HOUSTON, TX 77041-5165
(713) 280-0400
Mailing address
6919 QUEENSCLUB DR, HOUSTON, TX 77069-1267
(281) 384-6422
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
119541
TX
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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