Individual
LOLLY LILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 477-5737
Mailing address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 477-5737
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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