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Individual

SARAH ANN LILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
3801 N. LAMAR BLVD., SUITE 300, AUSTIN, TX 78756
(512) 421-3869
(512) 407-1873
Mailing address
3801 N. LAMAR BLVD., SUITE 300, AUSTIN, TX 78756
(512) 421-3869
(512) 407-1873

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200950031NP
OR
363L00000X
Nurse Practitioner
Primary
AP141831
TX
363L00000X
Nurse Practitioner
RN266490
MA
363LA2200X
Adult Health Nurse Practitioner
200950031NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500613532
OR
Enumeration date
06/18/2009
Last updated
11/26/2019
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