Individual
ANNA LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, IBCLC
Contact information
Practice address
9934 MEADOWMEAD CT, CHARLOTTE, NC 28273-3367
(704) 654-8599
(980) 938-6088
Mailing address
9934 MEADOWMEAD CT, CHARLOTTE, NC 28273-3367
(704) 654-8599
(980) 938-6088
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-304060
NC
235Z00000X
Speech-Language Pathologist
Primary
2104011
NC
Other
Enumeration date
06/26/2020
Last updated
08/24/2021
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