Individual
LILLIE NICOLE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 S MOUNTAIN AVE, SPRINGERVILLE, AZ 85938-5104
(928) 333-4368
Mailing address
123 N BECKER LAKE RD, SPRINGERVILLE, AZ 85938-5003
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN215196
AZ
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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