| Lillys Llc | |
|
3110 E Howe Rd Dewitt MI 48820-9408 | |
| (517) 402-8905 | |
| Not Available |
| Full Name | Lillys Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3110 E Howe Rd, Dewitt, Michigan |
| Authorized Official Name and Position | Amanda J Gerding (OWNER) |
| Authorized Official Contact | 5174028905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lillys Llc 3003 E Michigan Ave # 1235 Lansing MI 48912-4616 Ph: (517) 402-8905 | Lillys Llc 3110 E Howe Rd Dewitt MI 48820-9408 Ph: (517) 402-8905 |
| NPI Number | 1508693185 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508693185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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