Individual
ERICA LOUISE LILLENESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
400 E PIONEER STE 101, PUYALLUP, WA 98372-3256
(253) 445-5828
(253) 445-5831
Mailing address
400 E PIONEER STE 101, PUYALLUP, WA 98372-3256
(253) 445-5828
(253) 445-5831
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
3072-321
WI
207L00000X
Anesthesiology Physician
Primary
OP60651051
WA
Other
Enumeration date
03/28/2012
Last updated
01/03/2025
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