Individual
SAMANTHA NICOLE LILLICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3701 N SAINT PETERS PKWY STE B2, SAINT PETERS, MO 63376-7370
(636) 681-3166
Mailing address
3701 N SAINT PETERS PKWY STE B2, SAINT PETERS, MO 63376-7370
(636) 681-3166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017024415
MO
Other
Enumeration date
10/06/2017
Last updated
10/14/2025
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