Organization
MARGARETE LILES LLC
Active
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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