Individual
MS. DEBORAH CANNON LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2043 QUAIL RIDGE RD APT B, GREENVILLE, NC 27858-5586
(910) 340-1027
Mailing address
2043 QUAIL RIDGE RD APT B, GREENVILLE, NC 27858-5586
(910) 340-1027
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
028788
NC
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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