Individual
LILLIAN ALICE SCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
UNIVERSITY OF MONTANA 32 CAMPUS DRIVE, MISSOULA, MT 59812-0001
(406) 243-0211
Mailing address
2320 CLOVERDALE DR, MISSOULA, MT 59803-1104
(907) 360-9177
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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