Individual
ALEXANDRA MARIE LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 GLEN VALLEY DR, PENFIELD, NY 14526-9766
(585) 368-8432
Mailing address
20 GLEN VALLEY DR, PENFIELD, NY 14526-9766
(585) 368-8432
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330482
NY
Other
Enumeration date
01/06/2018
Last updated
01/06/2018
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