Individual
ISABEL LILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 KENMOOR AVE SE STE 110, GRAND RAPIDS, MI 49546-2379
(616) 591-2905
Mailing address
11841 5 MILE RD NE, LOWELL, MI 49331-9799
(616) 258-0193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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