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Organization

MARGARETE LILES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARETE A LILES CRNA (SOLE PROPRIETOR/OWNER)
(586) 754-5262
Entity
Organization

Contact information

Practice address
5130 COOLIDGE HWY, SUITE 120, ROYAL OAK, MI 48073-1001
(248) 658-0878
(248) 435-0930
Mailing address
8611 MCKINLEY, CENTER LINE, MI 48015-1669

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704159463
MI

Other

Enumeration date
07/12/2013
Last updated
07/12/2013
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