Individual
HAROLETTA MARIE LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC WHNP
Contact information
Practice address
G3371 BEECHER RD, FLINT, MI 48532-3621
(810) 238-3631
(810) 238-3631
Mailing address
G3371 BEECHER RD, FLINT, MI 48532-3621
(810) 238-3631
(810) 234-5956
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704169927
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008753530
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/19/2007
Last updated
06/05/2008
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