Individual
MISS LILLIE MARIA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4963 DONOVAN DR, GARFIELD HTS, OH 44125-2049
(254) 338-8436
Mailing address
4963 DONOVAN DR, GARFIELD HTS, OH 44125-2049
(254) 338-8436
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
196440
OH
164X00000X
Licensed Vocational Nurse
196440
TX
172V00000X
Community Health Worker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175751001
—
TX
Enumeration date
04/30/2009
Last updated
01/17/2026
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