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Individual

LILLIAN B DONNELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4542 PAGE AVE, MICHIGAN CENTER, MI 49254-1040
(517) 764-1202
(517) 782-0052
Mailing address
4542 PAGE AVE, MICHIGAN CENTER, MI 49254-1040
(517) 764-1202
(517) 782-0052

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704254121
MI
251E00000X
Home Health Agency
Primary
MI

Other

Enumeration date
12/21/2023
Last updated
12/21/2023
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