MRS. Lisa Ann Lillard

NPI #1609147149 in Tahlequah, Oklahoma

Provider Information

NPI Number
1609147149
Entity Type
Individual
Name
MRS. Lisa Ann Lillard
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jan 13, 2012
Last Updated
Jan 13, 2012

Practice Location

Address
321 E SOUTH ST
ZIP Code
74464-4024
Phone
(918) 931-0225

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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