Individual
LILLYANNE NEDAL QAMHIYEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 DUNVEGAN CT, LAFAYETTE, LA 70503-6070
(337) 280-1348
Mailing address
200 DUNVEGAN CT, LAFAYETTE, LA 70503-6070
(337) 280-1348
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5926344227240
—
LA
Enumeration date
11/11/2022
Last updated
11/11/2022
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