Individual
LONNETT LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7318 W POST RD STE 208, LAS VEGAS, NV 89113-6646
(800) 249-1266
Mailing address
7261 W CHARLESTON BLVD STE 101, LAS VEGAS, NV 89117-1679
(702) 396-0101
(702) 222-0212
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-169986
NV
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
09/28/2022
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