Individual
LUZ-MARINA LILCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 7TH AVE, TROY, NY 12182-3235
(518) 233-6821
Mailing address
320 7TH AVE, TROY, NY 12182-3235
(518) 233-6821
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
756401
NY
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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