Individual
LILLY VUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2365 MCKNIGHT RD N, NORTH ST PAUL, MN 55109-2238
(651) 760-3236
Mailing address
2365 MCKNIGHT RD N, NORTH ST PAUL, MN 55109-2238
(651) 760-3236
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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