| Lilly's Internal Light, Llc | |
|
10000 Coors Byp Nw Ste Eo1 Albuquerque NM 87114-4040 | |
| (505) 918-0455 | |
| Not Available |
| Full Name | Lilly's Internal Light, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10000 Coors Byp Nw Ste Eo1, Albuquerque, New Mexico |
| Authorized Official Name and Position | Francine Hernandez (CO-OWNER) |
| Authorized Official Contact | 5059187412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lilly's Internal Light, Llc Po Box 45281 Rio Rancho NM 87174-5281 Ph: (505) 677-0988 | Lilly's Internal Light, Llc 10000 Coors Byp Nw Ste Eo1 Albuquerque NM 87114-4040 Ph: (505) 918-0455 |
| NPI Number | 1073128351 |
|---|---|
| Provider Enumeration Date | 09/13/2020 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073128351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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