Individual
ELIZABETH LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 HAMBRICK PARK, FAYETTEVILLE, GA 30215-5268
(209) 648-3361
Mailing address
250 GEORGIA AVE E, PO BOX 151, FAYETTEVILLE, GA 30214-0151
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
03/16/2025
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