Individual
STEPHANIE LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2350 N LAKE OF THE WOODS RD, COLUMBIA, MO 65202-6936
(573) 310-9318
Mailing address
2350 N LAKE OF THE WOODS RD, COLUMBIA, MO 65202-6936
(573) 310-9318
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-68015
MO
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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