Individual
LILA ALLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 HEALTH PARK DR, OWOSSO, MI 48867-1291
(989) 723-8666
Mailing address
2616 S SHORE DR, FLUSHING, MI 48433-3510
(810) 280-3023
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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