Individual
MRS. CYNTHIA ROSE LILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3883 74TH AVE NE, FT. TOTTEN, ND 58335
(701) 766-1600
Mailing address
2125 13TH AVE SW, DEVILS LAKE, ND 58301-8621
(701) 662-8537
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R19348
ND
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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