Individual
LILIAN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 WILLOWBROOK RD, QUEENSBURY, NY 12804-5882
(518) 926-7100
Mailing address
737 STATE ROUTE 28N, NORTH CREEK, NY 12853-3915
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
838370
NY
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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