Individual
OSCAR LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 PALMER DR, APT. 4, LARAMIE, WY 82070-4774
(307) 760-8890
Mailing address
1520 PALMER DR, APT. 4, LARAMIE, WY 82070-4774
(307) 760-8890
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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