Individual
ELIZABETH ANN LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 RAINBOW LN, GHENT, WV 25843-9344
(304) 860-7922
Mailing address
116 RAINBOW LN, GHENT, WV 25843-9344
(304) 860-7922
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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