Individual
LILLY IHA THACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDT, LDH
Contact information
Practice address
331 WILLOW BND, CRYSTAL, MN 55428-3969
(763) 762-8916
Mailing address
331 WILLOW BND, CRYSTAL, MN 55428-3969
(763) 762-8916
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT192
MN
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us