Individual
LAURA ELIZABETH LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 WAKE FOREST BUSINESS PARK STE A, WAKE FOREST, NC 27587-7324
(919) 562-9941
Mailing address
4201 LAKE BOONE TRL STE 4, RALEIGH, NC 27607-7511
(919) 781-4434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10518
NC
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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