Individual
LILLY ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
888 S 400 W, SALT LAKE CITY, UT 84101-4800
(385) 267-6494
Mailing address
888 S 400 W, SALT LAKE CITY, UT 84101-4800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
ACM-01760
UT
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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