Individual
VICTORIA LYNN LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 S MUSTANG RD, YUKON, OK 73099-6777
(405) 494-7070
Mailing address
1316 SHANNON LN, EDMOND, OK 73034-8152
(405) 202-7933
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6537
OK
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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