Individual
LILLY VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10140 W COLFAX AVE, LAKEWOOD, CO 80215-3910
(303) 238-0488
Mailing address
10140 W COLFAX AVE, LAKEWOOD, CO 80215-3910
(303) 238-0488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21082
CO
Other
Enumeration date
10/29/2019
Last updated
04/17/2020
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