Individual
MS. LILLIAN BEVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1 SHALIMAR DR, MOUNT VERNON, OH 43050-1977
(740) 392-2004
(740) 879-2151
Mailing address
1 SHALIMAR DR, MOUNT VERNON, OH 43050-1977
(740) 392-2004
(740) 879-2151
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.024851
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33.024851
OHIO MEDICAL BOARD
OH
Enumeration date
11/20/2020
Last updated
01/25/2023
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