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Individual

MS. ALICE PENELOPE LILLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BC-HIS

Contact information

Practice address
4635 BOUNTIFUL WAY, LAS VEGAS, NV 89121-5777
(949) 418-2438
Mailing address
4635 BOUNTIFUL WAY, LAS VEGAS, NV 89121-5777
(949) 418-2438

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-2703
NV
237700000X
Hearing Instrument Specialist
Primary

Other

Enumeration date
08/14/2014
Last updated
05/12/2026
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