Organization
TIGER LILY COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZOE BRAUN (OWNER)
(414) 246-7101
Entity
Organization
Contact information
Practice address
10631 W LINCOLN AVE # 105, WEST ALLIS, WI 53227-1240
(414) 246-7101
Mailing address
1575 S MOORLAND RD APT 208, NEW BERLIN, WI 53151-1566
(414) 246-7101
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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