Roxanne Elouise Lillis

NPI #1063659035 in Silver Bay, Minnesota

Provider Information

NPI Number
1063659035
Entity Type
Organization
Organization Name
Roxanne Elouise Lillis
Primary Specialty
Home Health
Enumeration Date
Jan 13, 2009
Last Updated
Jan 13, 2009

Practice Location

Address
4215 BEAVER VALLEY RD
ZIP Code
55614-3808
Phone
(218) 226-4496

Authorized Official

Name
MS. ROXANNE ELOUISE LILLIS
Title
OWNER
Phone
(218) 226-4496

Specialties & Taxonomy Codes

Specialty
Home Health

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