| Lily Bay Llc | |
|
15 Weiss Ave Easton PA 18042 | |
| (610) 250-7595 | |
| (610) 250-7595 |
| Full Name | Lily Bay Llc |
|---|---|
| Speciality | Counselor |
| Location | 15 Weiss Ave, Easton, Pennsylvania |
| Authorized Official Name and Position | Warren Austin (CEO) |
| Authorized Official Contact | 6102507595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lily Bay Llc 15 Weiss Ave Easton PA 18042 Ph: (610) 250-7595 | Lily Bay Llc 15 Weiss Ave Easton PA 18042 Ph: (610) 250-7595 |
| NPI Number | 1730459124 |
|---|---|
| Provider Enumeration Date | 01/03/2012 |
| Last Update Date | 01/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730459124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | PC004551 (Pennsylvania) | Primary |
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