Organization
LILIVY POSTPARTUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE SUBLETT MD (CEO)
(260) 829-4262
Entity
Organization
Contact information
Practice address
921 E DUPONT RD STE 252, FORT WAYNE, IN 46825-1551
(260) 829-4262
Mailing address
921 E DUPONT RD STE 252, FORT WAYNE, IN 46825-1551
(260) 829-4262
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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