Organization
WIGS BY LILLIAN LEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN LEE (OWNER)
(201) 837-6770
Entity
Organization
Contact information
Practice address
60 W CHURCH ST, BERGENFIELD, NJ 07621-1628
(201) 837-6770
Mailing address
60 W CHURCH ST, BERGENFIELD, NJ 07621-1628
(201) 837-6770
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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