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Loretta Lilly
Specialist in Jonesboro, Arkansas
NPI 1497795967

Loretta Lilly is a Specialist based in Jonesboro, AR. Loretta Lilly practices in Jonesboro, AR. The NPI Number for Loretta Lilly is 1497795967 and holds a License No. OTA213 (Arkansas).

The current practice location address for Loretta Lilly is 1835 Grant Ave, Jonesboro, AR and can be reached out via phone at 870-974-9114. You can also correspond with Loretta Lilly through the mailing address at 1835 GRANT AVE, JONESBORO, AR - 72401-6155 (mailing address contact number: 870-974-9114).

Location: 1835 Grant Ave, Jonesboro, AR, 72401-6155
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Provider Profile Details
NPI Number
1497795967
Provider Name
Loretta Lilly
Credential
Provider Entity Type
Individual
Gender
Female
Address
1835 Grant Ave, Jonesboro, AR, 72401-6155
Phone Number
870-974-9114
Fax Number
Provider Enumeration Date
06/06/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
138317721 05 AR
institution
Provider Business Practice Location Address Details
Address
1835 Grant Ave
City
State
Zip
72401-6155
Phone Number
870-974-9114
Fax Number
person
Provider Business Mailing Address Details
Address
1835 Grant Ave
City
State
Zip
72401-6155
Phone Number
870-974-9114
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
OTA213 (Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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