Individual
LILY OLISSA LANDWEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13601 N LITCHFIELD RD STE 124, SURPRISE, AZ 85379-4260
(623) 322-8250
Mailing address
16485 N STADIUM WAY UNIT 2091, SURPRISE, AZ 85374-4387
(260) 440-6693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP13328
AZ
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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