Organization
LILY BAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN AUSTIN (CEO)
(610) 250-7595
Entity
Organization
Contact information
Practice address
15 WEISS AVE, EASTON, PA 18042
(610) 250-7595
(610) 250-7595
Mailing address
15 WEISS AVE, EASTON, PA 18042
(610) 250-7595
(610) 250-7595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC004551
PA
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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