Individual
DR. LILY K LAIJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1521 WABASH AVE, MATTOON, IL 61938-3977
(217) 235-5496
(217) 234-6956
Mailing address
1521 WABASH AVE, MATTOON, IL 61938-3977
(217) 235-5496
(217) 234-6956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19.018531
IL
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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