Organization
EZ CARE IOWA LLC
Active
Other names
Iowa EZ Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA G LILLEY DNP, APRN, FNP-BC (OWNER/ FAMILY NURSE PRACTITIONER)
(337) 358-2701
Entity
Organization
Contact information
Practice address
621 E. MILLER AVENUE, IOWA, LA 70647-7064
(337) 884-4890
(337) 548-9176
Mailing address
621 E MILLER AVE, IOWA, LA 70647
(337) 358-2701
(337) 358-2706
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06818
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2317377
—
LA
Enumeration date
06/29/2018
Last updated
10/08/2018
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