Individual
MRS. LILA MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 S MAIN ST, LEBANON, OR 97355-3111
(541) 259-5400
(541) 259-5499
Mailing address
41441 MCQUEEN DR, SWEET HOME, OR 97386-9661
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
666
OR
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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