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Individual

DR. HEATHER LILLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.M.D.

Contact information

Practice address
1012 E. JACKSON ST., MEDFORD, OR 97504
(541) 770-5563
(541) 772-3028
Mailing address
1012 E. JACKSON ST., MEDFORD, OR 97504
(541) 770-5563
(541) 772-3028

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
12-1325
AZ

Other

Enumeration date
10/03/2012
Last updated
07/17/2014
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